NPI 1083672695
Melvin Dixon, CPO
Practice location
- Address
- 753 N Indian Creek Dr, Clarkston, GA 30021-2347
- Phone
- (404) 292-4200
- Fax
- (404) 292-4247
Registered specialties
Orthotic Fitter
Primary
Registry record
- NPI
- 1083672695
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 May 2006
- Record last updated
- 6 Nov 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.