Provider Demographics
NPI:1003862905
Name:THOMAS, SUZANNE DIXSON (APRN-BC)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:DIXSON
Last Name:THOMAS
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
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Mailing Address - Street 1:300 GARDNERS MILL CT
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30907-3716
Mailing Address - Country:US
Mailing Address - Phone:706-651-0250
Mailing Address - Fax:
Practice Address - Street 1:1916 N LEG RD
Practice Address - Street 2:FAMILY HEALTH COORDINATOR, EAST CENTRAL HEALTH DISTRICT
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-4402
Practice Address - Country:US
Practice Address - Phone:706-667-4285
Practice Address - Fax:706-667-4607
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN101218 NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily