Provider Demographics
NPI:1598812588
Name:DIXON, BRIDGET ALANA (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:ALANA
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 1:2122 BRUSHY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LUCEDALE
Mailing Address - State:MS
Mailing Address - Zip Code:39452-8752
Mailing Address - Country:US
Mailing Address - Phone:601-947-7715
Mailing Address - Fax:
Practice Address - Street 1:801 DOWNTOWNER BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5403
Practice Address - Country:US
Practice Address - Phone:251-341-1211
Practice Address - Fax:251-414-5104
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2180111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor