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Contact Information

MELVIN DIXON, CPO
753 N INDIAN CREEK DR
CLARKSTON, GA30021-2347
 Phone: 404-292-4200
 Fax: 404-292-4247
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthotics/Prosthetics Fitter

225000000X
Indicates primary specialty

NPI Profile & details for MELVIN DIXON · (Male)

NPI # 1083672695
Status Active
Credentials CPO
Entity Individual
Enumeration date 05/03/2006
Last updated 11/06/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • GA Medicaid 00846513A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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