Doctor Name: | DR. JAMES RICHARD DIXON |
NPI Number: | 1639134695 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | DO391 |
Business Practice Address: | 410 Medical Park Dr Atmore, AL - 365023016 |
Business Phone Number: | 2513682346 |
Business Fax Number: | 2513683557 |
Mailing Address: | 410 Medical Park Dr, ATMORE |
State: | AL |
Postal Code: | 365023016 |
Phone Number: | 2513682346 |
Fax Number: | 2513683557 |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | DO391 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |