Individual
DR. JOHN DELANO MIXON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1205 SHERWOOD PARK DRIVE, GAINESVILLE, GA 30501
(770) 536-0201
(770) 531-0000
Mailing address
1205 SHERWOOD PARK DRIVE, GAINESVILLE, GA 30501
(770) 536-0201
(770) 531-0000
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6349
GA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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