Individual
MATHEW JOSEPH DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8436
Mailing address
PO BOX 15759, SAVANNAH, GA 31416-2459
(912) 355-8188
(912) 356-6970
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
057602
GA
2085R0202X
Diagnostic Radiology Physician
OS9322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085538279A
PEACH STATE HEALTH PLAN
GA
05
—
085538279A
—
GA
05
—
272812500
—
FL
01
—
52207082001
BCBS
GA
01
—
N346968
WELLCARE
GA
01
—
P00340706
RAILROAD MEDICARE
GA
Enumeration date
05/23/2006
Last updated
03/30/2022
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