Individual
MAE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 S PEACHTREE PKWY, PEACHTREE CITY, GA 30269-1705
(404) 948-3019
Mailing address
40 S MAIN ST STE 1300, MEMPHIS, TN 38103-5513
(866) 949-0108
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
1139741
AL
363L00000X
Nurse Practitioner
Primary
RN177221
GA
363LF0000X
Family Nurse Practitioner
RN177221
GA
Other
Enumeration date
10/10/2014
Last updated
02/28/2023
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