Individual
KAREN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 HAWTHORNE LN, ATHENS, GA 30606-2152
(706) 353-7648
(706) 353-7648
Mailing address
300 HAWTHORNE LN, ATHENS, GA 30606-2152
(706) 353-7648
(706) 353-2771
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN162714
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003179913A
—
GA
01
—
RN162714
LICENSE
GA
Enumeration date
07/18/2016
Last updated
03/17/2018
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