Gilmore, Dixie

Gilmore, Dixie is an individual health care provider with primary practice located at 315 Winn Way , Decatur GA 30030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gilmore, Dixie can be contacted via phone (404) 299-9724.

Contact Information

Primary practice address
315 Winn Way Decatur GA 30030
Phone: (404) 299-9724
Fax: (404) 299-0382
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN097529 Georgia

Profile Details

NPI number 1740347434
LBN Legal business name Gilmore, Dixie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740347434 NPPES
Georgia MEDICAID 116976858T
Georgia MEDICAID 116976858S

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