Lookup NPI Numbers from the NPI Registry
NPI Profile for TY RE L DIXON SR in FAYETTEVILLE, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI # | 1902264492 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/29/2016 | |
| Last updated | 01/29/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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TY RE L DIXON SR