Individual
MR. GARY LYNN HIXSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
1224 GAY STREET, DANDRIDGE, TN 37725
(865) 397-3444
(865) 397-6279
Mailing address
909 MILL ST, DANDRIDGE, TN 37725-4809
(865) 705-6120
(865) 397-6279
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
17857
TN
Other
Enumeration date
02/21/2007
Last updated
02/24/2012
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