Individual provider · NPI-1

Martin A Dixon, D.O.

Family Medicine · Lithonia, GA

NPI number1144334798
StatusActive
Last updated in NPPESDec 20, 2023

Details

NPI
1144334798
Entity type
Individual (NPI-1)
Name
Martin A Dixon
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 19, 2006
Certification date
Dec 20, 2023
Last updated
Dec 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine28531GAYes

Practice location

8225 Mall Pkwy
Suite 100
Lithonia, GA 30038-6994

Phone 770-981-2100 · Fax 770-808-8445

Mailing address

1300 Peachtree Industrial Blvd Ste 4101
Suwanee, GA 30024-4542

Phone 770-831-5525

Other practice locations

1300 Peachtree Industrial Blvd Ste 4101
Suwanee, GA 30024-4542

Phone 770-831-5525

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