Dixon, Terri C

Dixon, Terri C is an sole proprietor health care provider with primary practice located at 806 N Jefferson St , Dublin GA 31021-6306. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dixon, Terri C can be contacted via phone (478) 275-8844.

Contact Information

Primary practice address
806 N Jefferson St Dublin GA 31021-6306
Fax: (478) 275-2365
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP003139 Georgia

Profile Details

NPI number 1700957396
LBN Legal business name Dixon, Terri C
Credentials MED. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700957396 NPPES
Georgia Other 317683 WELLCARE ID NUMBER
Georgia Other 199726 WELLCARE ID NUMBER
Georgia MEDICAID 00658424C WELLCARE ID NUMBER

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