MR. Ty-re Lamont Dixon is a customized equipment durable medical equipment medical supplies in Fayetteville, GA. MR. Ty-re Lamont Dixon NPI is 1902264492. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
220 SHORELINE DR.
FAYETTEVILLE, GA
ZIP 30215
Phone: (404) 661-1800
Fax: (770) 897-3777
The enumeration date for this NPI number is 1/29/2016 and was last updated on 1/29/2016.