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Organization

JEROME ANTHONY DIXON D O P S C

Active
Other names
Crossroad Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GERRI MONHOLLEN (CREDENTIALING MANAGER)
(859) 525-1459
Entity
Organization

Contact information

Practice address
150 W BEAR TRACK RD, CAMPBELLSVILLE, KY 42718-8709
(270) 465-8133
(270) 789-1543
Mailing address
150 W BEAR TRACK RD, CAMPBELLSVILLE, KY 42718-8709
(270) 465-8133
(270) 789-1543

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1071186
KY
363L00000X
Nurse Practitioner
Primary
3007692
KY

Other

Enumeration date
10/14/2014
Last updated
10/14/2014
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