Individual
MRS. EVELYN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
3213 BETHUNE AVE, MACON, GA 31211-7609
(478) 743-7687
Mailing address
3213 BETHUNE AVE, MACON, GA 31211-7609
(478) 743-7687
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004003
GA
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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