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1588848360
GEORGE RICHARD MIXON
MACON, GA
NPI
1588848360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA 7776)
Enumeration Date
2007-12-28
Last Update Date
2007-12-28
Business Address
Dr. GEORGE RICHARD MIXON dds
6501 PEAKE RD BLDG 600
MACON, GA 31210-8042
Phone number: 478-477-7101
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Mailing Address
Dr. GEORGE RICHARD MIXON dds
6501 PEAKE RD BLDG 600
MACON, GA 31210-8042
Phone number: 478-477-7101
Copy
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