DIANNE S MIXON

VIDALIA, GA
NPI1245376573
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  000330)
Enumeration Date2007-01-30
Last Update Date2010-12-20
Business Address
DIANNE S MIXON PA-C
1608 MEADOWS LN STE 1
VIDALIA, GA 30474-9907
Phone number: 912-537-9488
Mailing Address
DIANNE S MIXON PA-C
1608 MEADOWS LN STE 1
VIDALIA, GA 30474-9907
Phone number: 912-537-9488
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