Individual
PIERCE KENDAL DIXON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
690 MEDICAL PARK LANE, GAINESVILLE, GA 30501
(770) 531-0093
(770) 535-0094
Mailing address
690 MEDICAL PARK LANE, GAINESVILLE, GA 30501
(770) 531-0093
(770) 535-0094
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18484
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00960396A
—
GA
Enumeration date
03/01/2006
Last updated
01/04/2011
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