Shelly Mixson is a General Practice in Austell, Georgia. Shelly Mixson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shelly Mixson is 1861664880. The last update date is 2008-03-31.
Shelly Mixson's current location address is 1133 E West Connector, Austell, Georgia. You can contact this provider via phone number 7703339951 and fax number 7703339953. The mailing address for Shelly Mixson is 1133 E West Connector, Austell, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shelly Mixson |
|---|---|
| Address | 1133 E West Connector, Austell, Georgia |
| Phone Number | 7703339951 |
| Fax Number | 7703339953 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mixson Shelly |
| Credentials | D.M.D |
| Telephone Number | 7703339951 |
NPI Number Detail
| NPI Number | 1861664880 |
|---|---|
| Provider Enumeration Date | 2008-03-31 |
| Last Updated Date | 2008-03-31 |
Provider Mailing Address Detail
| Address | 1133 E West Connector |
|---|---|
| City | Austell |
| State | Georgia (GA) |
| Post Code | 301061589 |
| Phone Number | 7703339951 |
| Fax Number | 7703339953 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN012436 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101592 | GA | AVESIS | |
| 9185964 | GA | DORAL |
Post Comment/ Review Below
What is the unique identification code assigned to Shelly Mixson by the Centers for Medicare & Medicaid Services?
The Shelly Mixson has been issued the NPI (National Provider Identifier) 1861664880. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shelly Mixson's facilities are geographically located?
The facilities of Shelly Mixson are physically situated at the following location: 1133 E West Connector, Austell, GA, 301061589.
What is Shelly Mixson's area of expertise and its corresponding taxonomy classification?
The Shelly Mixson's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Shelly Mixson receive its 1861664880 assignment from the Centers for Medicare & Medicaid Services?
The Shelly Mixson was assigned its 1861664880 by the Centers for Medicare & Medicaid Services on 2008-03-31.
When was the information regarding Shelly Mixson most recently updated?
The details pertaining to the Shelly Mixson, including its address, specialty, and other relevant information, were last refreshed on 2008-03-31.
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