Antwan Tavarious Dixon Llc | |
2100 Southbridge Pkwy Ste 650 Birmingham AL 35209-1317 | |
(800) 916-3713 | |
Not Available |
Full Name | Antwan Tavarious Dixon Llc |
---|---|
Speciality | Counselor - Professional |
Location | 2100 Southbridge Pkwy Ste 650, Birmingham, Alabama |
Authorized Official Name and Position | Antwan Tavarious Dixon (OWNER/LICENSED PROF. COUNSELOR) |
Authorized Official Contact | 8009163713 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Antwan Tavarious Dixon Llc 2100 Southbridge Pkwy Ste 650 Birmingham AL 35209-1317 Ph: () - | Antwan Tavarious Dixon Llc 2100 Southbridge Pkwy Ste 650 Birmingham AL 35209-1317 Ph: (800) 916-3713 |
NPI Number | 1760192280 |
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Provider Enumeration Date | 11/28/2022 |
Last Update Date | 11/28/2022 |
Certification Date | 11/26/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760192280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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