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Individual

DR. SHELLY MIXSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3528 ASHFORD DUNWOODY ROAD, ATLANTA, GA 30319
(770) 455-6602
Mailing address
1133 E WEST CONNECTOR, STE. 120 & 130, AUSTELL, GA 30106-1589
(770) 333-9951
(770) 333-9953

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012436
GA

Other

Enumeration date
12/29/2006
Last updated
05/20/2021
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