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Individual

DIXIE GILMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
315 WINN WAY, DECATUR, GA 30030
(404) 299-9724
(404) 299-0382
Mailing address
315 WINN WAY, DECATUR, GA 30030-2111
(404) 299-9724
(404) 299-0382

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN097529
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116976858S
GA
05
116976858T
GA
Enumeration date
01/02/2007
Last updated
07/21/2022
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