Provider Demographics
NPI:1316962319
Name:DIXON, JAMES MATHEW (R,CT,MR)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MATHEW
Last Name:DIXON
Suffix:
Gender:M
Credentials:R,CT,MR
Other - Prefix:
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Other - Suffix:
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Mailing Address - Street 1:108 CHESTNUT LN
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35660-6802
Mailing Address - Country:US
Mailing Address - Phone:256-389-3909
Mailing Address - Fax:
Practice Address - Street 1:1201 13TH AVE SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-4300
Practice Address - Country:US
Practice Address - Phone:256-350-7779
Practice Address - Fax:256-350-2272
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
302643247100000X, 2471C3401X, 2471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist
Not Answered2471C3401XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistComputed Tomography
Not Answered2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging