Individual
FELISHA NICOLE DIXON-BRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
140 STONEWALL AVE W # 107, FAYETTEVILLE, GA 30214-1520
(770) 305-5416
Mailing address
102 NEALYS WAY, HADDOCK, GA 31033-2027
(478) 932-8365
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN214610
GA
363LF0000X
Family Nurse Practitioner
Primary
RN214610
GA
Other
Enumeration date
09/19/2012
Last updated
07/21/2022
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