Daniel Rustin Dixon

NPI #1073113429 in Moultrie, Georgia

Provider Information

NPI Number
1073113429
Entity Type
Individual
Name
Daniel Rustin Dixon
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Oct 27, 2020
Last Updated
Oct 27, 2020

Practice Location

Address
641 VETERANS PKWY S
State
Georgia
ZIP Code
31788-8843
Phone
(229) 985-6850

Specialties & Taxonomy Codes

Specialty
Pharmacist

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