Individual
MR. JERRY WAYNE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
174 PERRY HOUSE RD, FITZGERALD, GA 31750-8838
(229) 423-2313
Mailing address
174 PERRY HOUSE RD, FITZGERALD, GA 31750-8838
(229) 423-2313
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10075
GA
Other
Enumeration date
09/13/2006
Last updated
07/09/2007
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