Organization
DIXIE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA LEWIS NP (OWNER)
(478) 559-1386
Entity
Organization
Contact information
Practice address
1085 PLAZA AVE, EASTMAN, GA 31023-9102
(478) 559-1386
(478) 559-1388
Mailing address
PO BOX 146, CHAUNCEY, GA 31011-0146
(478) 559-1386
(478) 559-1388
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
RN118481
GA
Other
Enumeration date
05/15/2017
Last updated
07/19/2023
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