Individual
ANDREW ALEXANDER DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
028761
GA
207RN0300X
Nephrology Physician
28761
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000441306D
—
GA
01
—
110070948
MEDICARE RAILROAD
GA
Enumeration date
06/27/2005
Last updated
03/11/2020
Update your record
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