Dianne S Mixon, PA-C

NPI #1245376573 in Vidalia, Georgia

Provider Information

NPI Number
1245376573
Entity Type
Individual
Name
Dianne S Mixon, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jan 30, 2007
Last Updated
Dec 20, 2010

Practice Location

Address
1608 MEADOWS LN STE 1
State
Georgia
ZIP Code
30474-9907
Phone
(912) 537-9488

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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