SearchGeorgiaCustomized Equipment (DME)

Ty-Re Dixon

NPI 1902264492 · on the registry since 2016 · sole proprietor

Practice

Address
220 Shoreline Dr.
Fayetteville, GA 30215
Phone
(404) 661-1800
Fax
(770) 897-3777

Registry record

Primary taxonomy
Customized Equipment (DME)
332BC3200X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia