Organization
DIXOPHTHAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EL-ROY DEC DIXON M.D. (OWNER)
(229) 439-7700
Entity
Organization
Contact information
Practice address
806 N JEFFERSON ST, ALBANY, GA 31701-2363
(229) 439-7700
(229) 439-7283
Mailing address
PO BOX 71445, ALBANY, GA 31708-1445
(229) 439-7700
(229) 439-7283
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
040367
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000656719H
—
GA
05
—
000656719I
—
GA
05
—
000656719J
—
GA
Enumeration date
12/11/2006
Last updated
03/24/2008
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