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MRS. DIXIE PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
2300 MANCHESTER EXPY, SUITE 2001, COLUMBUS, GA 31904-6802
(706) 323-5552
Mailing address
2300 MANCHESTER EXPY, SUITE 2001, COLUMBUS, GA 31904-6802
(706) 323-5552

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN072178
GA

Other

Enumeration date
07/22/2016
Last updated
07/22/2016
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