Provider Demographics
NPI:1528379591
Name:DIXON, JODI (DC)
Entity Type:Individual
Prefix:DR
First Name:JODI
Middle Name:
Last Name:DIXON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 POWERS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-7559
Mailing Address - Country:US
Mailing Address - Phone:404-849-6889
Mailing Address - Fax:770-773-9995
Practice Address - Street 1:209 POWERS FERRY RD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-7559
Practice Address - Country:US
Practice Address - Phone:404-849-6889
Practice Address - Fax:770-773-9995
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO08106111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor