Individual
MARTHA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
430 SHADOW RIDGE DR, JACKSON, TN 38305-8520
(731) 664-9344
Mailing address
430 SHADOW RIDGE DR, JACKSON, TN 38305-8520
(731) 664-9344
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000002502
TN
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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