person
Dixie Mayberry, PA
Surgical Physician Assistant in Marietta, Georgia
NPI 1184098832

Dixie Mayberry is a Surgical Physician Assistant based in Marietta, GA and is specialized in Surgical. Dixie Mayberry practices in Marietta, GA and has the professional credentials of PA. The NPI Number for Dixie Mayberry is 1184098832 and holds a License No. 2476 (Georgia).

The current practice location address for Dixie Mayberry is 818 Church St Ne, Marietta, GA and can be reached out via phone at 770-590-4190 and via fax at 770-590-4191.

Location: 818 Church St Ne, Marietta, GA, 30060-8981
person
Provider Profile Details
NPI Number
1184098832
Provider Name
Dixie Mayberry
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
818 Church St Ne, Marietta, GA, 30060-8981
Phone Number
770-590-4190
Fax Number
770-590-4191
Provider Enumeration Date
11/18/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2450PA 05 SC
institution
Provider Business Practice Location Address Details
Address
818 Church St Ne
City
State
Zip
30060-8981
Phone Number
770-590-4190
Fax Number
770-590-4191
person
Provider Business Mailing Address Details
Address
818 Church St Ne
City
State
Zip
30060-8981
Phone Number
770-590-4190
Fax Number
770-590-4191
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
2476 (South Carolina)
Definition
Definition to come...
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