Individual
COURTLAND CORTEZ DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 29TH ST, COLUMBUS, GA 31904-8709
(762) 258-1680
Mailing address
801 29TH ST, COLUMBUS, GA 31904-8709
(762) 258-1680
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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