NPI | 1679977227 |
---|---|
Professional Name | MAE ANTREAL DIXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN177221) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AL 1139741) |
363LF0000X Nurse Practitioner, Family (Licence: GA RN177221) | |
Enumeration Date | 2014-10-10 |
Last Update Date | 2023-02-28 |