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Individual

JOE MATHIS DIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1105 MORNINGSIDE DR, PERRY, GA 31069-2905
(478) 987-5500
(478) 988-4628
Mailing address
1105 MORNINGSIDE DR, PERRY, GA 31069-2905
(478) 987-5500
(478) 988-4628

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 001187
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000415258B
GA
05
000415258C
GA
Enumeration date
04/26/2006
Last updated
01/03/2023
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