Individual
MRS. JORDAN NIX RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1108 PROFESSIONAL BLVD, DALTON, GA 30720-2588
(706) 226-7546
(706) 529-6628
Mailing address
1108 PROFESSIONAL BLVD, DALTON, GA 30720-2588
(706) 226-7546
(706) 529-6628
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
7981
GA
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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