| Doctor Name: | MR. MELVIN DIXON |
| NPI Number: | 1083672695 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CPO |
| License Number: | |
| Business Practice Address: | 753 N Indian Creek Dr Clarkston, GA - 300212347 |
| Business Phone Number: | 4042924200 |
| Business Fax Number: | 4042924247 |
| Mailing Address: | 753 N Indian Creek Dr, CLARKSTON |
| State: | GA |
| Postal Code: | 300212347 |
| Phone Number: | 4042924200 |
| Fax Number: | 4042924247 |
| NPI Enumeration Date: | 05/03/2006 |
| NPI Last Update Date: | 11/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225000000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Orthotic Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |