Individual
MELVA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
172V00000X
Community Health Worker
—
—
1744P3200X
Prosthetics Case Management
Primary
420748
MD
1744P3200X
Prosthetics Case Management
—
MD
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316413636
—
MD
Enumeration date
03/11/2024
Last updated
03/02/2026
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