Organization
FULGHUM DURGS
Active
Organization
FULGHUM DURGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY ASHLEY DIXON PHARMD (OWNER)
(912) 367-2488
Entity
Organization
Contact information
Practice address
34 NW PARK AVE, BAXLEY, GA 31513-0049
(912) 367-2488
(912) 367-7235
Mailing address
34 NW PARK AVE, BAXLEY, GA 31513-0049
(912) 367-2488
(912) 367-7235
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
09/11/2007
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