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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL WADE DIXON, DPM

Active

Podiatrist · KENNESAW, GA

Registration Details

NPI Number
1477557924
Provider Type
Individual
Gender
Male
NPI Issued
Jun 10, 2005 (20.864265281547 yrs)
Last Updated
Jan 14, 2014
Licenses
000961 (GA)
000961 (GA)
000961 (GA)
000961 (GA)

Practice Information

Address
440 ERNEST W BARRETT PKWY NW
STE 62
KENNESAW, GA, 301444918
Browse GA providers · Browse ZIP 30144
Phone
7704220280
Fax
7704265388
Primary Specialty
Podiatrist
213E00000X
Additional Specialty
Sports Medicine Podiatrist
Additional Specialty
Foot Surgery Podiatrist

Other Podiatrist Providers in KENNESAW, GA

Name Credential NPI
EVAN M BRODY DPM 1679548168
DR. SADIA MAHMOOD ALI DPM 1467614438
ERIN JEANNINE CUPOLO D.P.M. 1134360175
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.