Individual
ELAINE GRIMES-DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, AGPCNP-BC
Contact information
Practice address
3030 HEADLAND DR SW STE 600, ATLANTA, GA 30311-5437
(470) 832-5973
(877) 887-5316
Mailing address
3030 HEADLAND DR SW STE 600, ATLANTA, GA 30311-5437
(470) 832-5973
(877) 887-5316
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN183131
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G288355196
MEDICARE
GA
Enumeration date
09/02/2021
Last updated
08/23/2022
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