DR. Michael Wade Dixon, DPM

NPI #1477557924 in Kennesaw, Georgia

Provider Information

NPI Number: 1477557924
Entity Type: Individual
Name: DR. Michael Wade Dixon, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Jun 10, 2005
Last Updated: Jan 14, 2014

Practice Location

Address: 440 ERNEST W BARRETT PKWY NW
Address 2: STE 62
City: Kennesaw
State: Georgia
ZIP Code: 30144-4918
Phone: (770) 422-0280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary
Podiatrist - Sports Medicine — Sports Medicine	213ES0000X
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X

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