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BYRON DIXON

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1386019560

Individual Registrant:
 BYRON  DIXON 
Gender: M
Sole Proprietor

Location and contact information for practice:
1113 SANDFORT RD  PHENIX CITY, AL 36867-6651 US
Tel: 334-408-4355  Fax: --

Contact information for business:
1113 SANDFORT RD  PHENIX CITY, AL 36867-6651 US
Tel: 404-683-8776  Fax: --

Registration Information:
NPI: 1386019560
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program
AL

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
IRS47-5495087AL01




HEALTH CARE JOBS AL - Page 1



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