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Individual

KARLIE INGRAM MIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1107 GREER ST, CORDELE, GA 31015-1920
(229) 273-2445
Mailing address
295 MORNING GLORY RD, VIENNA, GA 31092-4470
(229) 938-3069

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
GA
225100000X
Physical Therapist
Primary

Other

Enumeration date
08/05/2020
Last updated
08/05/2020
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