Dixon, Ty-Re Lamont

Dixon, Ty-Re Lamont is an sole proprietor health care provider with primary practice located at 220 Shoreline Dr. , Fayetteville GA 30215. He recently has only one registered license in Suppliers / Customized Equipment, which is considered as his primary health care specialty. Dixon, Ty-Re Lamont can be contacted via phone (404) 661-1800.

Contact Information

Primary practice address
220 Shoreline Dr. Fayetteville GA 30215
Phone: (404) 661-1800
Fax: (770) 897-3777
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X Georgia

Profile Details

NPI number 1902264492
LBN Legal business name Dixon, Ty-Re Lamont
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2016
Last updated Jan 29th, 2016 - about 10 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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