DEIDRE NIXON

TIFTON, GA
NPI1528501145
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171W00000X Contractor
Enumeration Date2016-11-30
Last Update Date2016-11-30
Business Address
-- DEIDRE NIXON
4114 MARTIN AVE
TIFTON, GA 31794-6121
Phone number: 229-339-1877
Mailing Address
-- DEIDRE NIXON
4114 MARTIN AVE
TIFTON, GA 31794-6121
Phone number: 229-339-1877