Individual
MRS. JORDAN STARR LOPEZ DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1323 METROPOLITAN PKWY SW, ATLANTA, GA 30310-4441
(678) 589-7546
Mailing address
1323 METROPOLITAN PKWY SW, ATLANTA, GA 30310-4441
(678) 589-7546
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12600
GA
363A00000X
Physician Assistant
PA.2501
AL
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A1251424
—
AL
Enumeration date
08/05/2024
Last updated
02/13/2026
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