Roxie Joy Dickson

Individual provider Active NPI Health & Wellness Coach · Macon, MS

NPI 1497465348 · NPPES record last updated Dec 1, 2022

Key facts

NPI
1497465348
Entity type
Individual (NPI type 1)
Primary specialty
Health & Wellness Coach 171400000X
Practice address
2965 Jefferson St
Macon, MS 39341-2274
Phone
(662) 788-1032
NPI assigned
Dec 1, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Yes

Addresses

Primary practice location

2965 Jefferson St
Macon, MS 39341-2274

Mailing address

PO Box 293
Macon, MS 39341-0293
Phone (601) 938-8653

Other providers in Macon, MS

All providers in Macon, MS · Health & Wellness Coach in Mississippi

Sources for this page

Verify at the official NPI Registry.