Carol S Dixon
Technician, Attendant Care Provider in Lithonia, GA. Individual provider (NPI-1).
NPI number1386371979
StatusActive
Last updated in NPPESAug 3, 2022
Details
- NPI
- 1386371979
- Entity type
- Individual (NPI-1)
- Name
- Carol S Dixon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 3, 2022
- Certification date
- Aug 3, 2022
- Last updated
- Aug 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
3946 Glen Park DrLithonia, GA 30038-3694
Phone 404-290-4306
Mailing address
3946 Glen Park DrLithonia, GA 30038-3694
Phone 404-290-4306
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