TY-RE L. DIXON, SR. – NPI #1902264492
Durable Medical Equipment & Medical Supplies

TY-RE DIXON, SR. is a DME supplier located in FAYETTEVILLE, GA. NPPES has assigned the NPI number 1902264492 to TY-RE DIXON, SR. on January 29, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 332BC3200X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TY-RE DIXON, SR. below.

NPI Profile for
TY-RE L. DIXON, SR.

NPI Number
1902264492
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TY-RE L. DIXON, SR.
Primary location
220 SHORELINE DR.
FAYETTEVILLE, GA 30215
Phone: (404) 661-1800 Fax: (770) 897-3777
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332BC3200X
- Durable Medical Equipment & Medical Supplies / Customized Equipment (Primary)
GA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.