Individual
CATHY L DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
1841 N COLUMBIA ST, MILLEDGEVILLE, GA 31061-2382
(478) 452-3593
(478) 453-0016
Mailing address
1841 N COLUMBIA ST, MILLEDGEVILLE, GA 31061-2382
(478) 452-3593
(478) 453-0016
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO001648
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00897487A
—
GA
01
—
07820
SPECTERA
GA
01
—
100921
AVESIS M'CAID
GA
01
—
25391
AVESIS
GA
Enumeration date
12/14/2006
Last updated
05/13/2008
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