Individual provider · Type 1 NPI

Dixie Mayberry, PA

Surgical Physician Assistant · Marietta, GA

NPI number 1184098832 Active

Practice location

818 Church St NE
Marietta, GA 30060-8981

Call (770) 590-4190 Map

Fax (770) 590-4191

Other practice locations

  • 160 Academy Ave, Greenwood, SC 29646-3808 · (864) 223-8090

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X2476 (SC)
Surgical Physician Assistant Primary 363AS0400X9782 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1184098832

Dixie Mayberry, PA's National Provider Identifier is 1184098832, issued on Nov 18, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Marietta, GA. The record was last updated on Feb 26, 2024.