DETRA K DIXON

MACON, GA
NPI1376101196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN213793)
Enumeration Date2019-06-05
Last Update Date2022-06-29
Business Address
DETRA K DIXON FNP
227 AMALIE DR
MACON, GA 31220-2667
Phone number: 478-731-9521
Mailing Address
DETRA K DIXON FNP
227 AMALIE DR
MACON, GA 31220-2667
Phone number: 478-731-9521
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