Jerry Dixon JR.
NPI #1467091371 in Kosciusko, Mississippi
Provider Information
- NPI Number
- 1467091371
- Entity Type
- Individual
- Name
- Jerry Dixon JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Dec 26, 2019
- Last Updated
- Dec 26, 2019
Practice Location
- Address
- 14337 HIGHWAY 12 W
- City
- Kosciusko
- State
- Mississippi
- ZIP Code
- 39090-3689
- Phone
- (662) 705-2210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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