Individual
KRYSTLE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 S RAILROAD ST, LENOX, GA 31637-7424
(229) 546-4206
(229) 546-4612
Mailing address
1948 OLD OCILLA RD, TIFTON, GA 31794-1644
(229) 391-3500
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN216493
GA
Other
Enumeration date
10/10/2016
Last updated
02/12/2018
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