Individual
MRS. MICHELLE LOUISE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
755 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(770) 277-6725
(770) 277-9169
Mailing address
755 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(770) 277-6725
(770) 277-9169
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
RN170285
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195536290A
—
GA
Enumeration date
02/12/2010
Last updated
02/12/2010
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