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Individual

MRS. JONI REBA DIXON-MILNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
550 PROFESSIONAL DR, MACON, GA 31201-1411
(478) 741-3007
(478) 330-6288
Mailing address
550 PROFESSIONAL DR, MACON, GA 31201-1411
(478) 741-3007
(478) 330-6288

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN134487
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000968679B
GA
Enumeration date
05/11/2006
Last updated
10/13/2011
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