TY-RE LAMONT DIXON

FAYETTEVILLE, GA
NPI1902264492
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
Enumeration Date2016-01-29
Last Update Date2016-01-29
Business Address
Mr. TY-RE LAMONT DIXON
220 SHORELINE DR.
FAYETTEVILLE, GA 30215
Phone number: 404-661-1800
Mailing Address
Mr. TY-RE LAMONT DIXON
220 SHORELINE DR.
FAYETTEVILLE, GA 30215
Phone number: 404-661-1800
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