Individual
DIANNE S MIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1608 MEADOWS LN STE 1, VIDALIA, GA 30474-9907
(912) 537-9488
(912) 537-8951
Mailing address
1608 MEADOWS LN STE 1, VIDALIA, GA 30474-9907
(912) 537-9488
(912) 537-8951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000330
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001382A
—
GA
Enumeration date
01/30/2007
Last updated
12/20/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us