SearchGeorgia363A00000X

Dianne Mixon, PA-C

NPI 1245376573 · on the registry since 2007 · sole proprietor

Practice

Address
1608 Meadows Ln Ste 1
Vidalia, GA 30474
Phone
(912) 537-9488
Fax
(912) 537-8951
Organisation at this address
Dr. F. Geoffery Conner Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-12-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia