Kristopher G Mixon in Macon - General Practice

Kristopher G Mixon - NPI 1154419620

Kristopher G Mixon is a General Practice in Macon, Georgia. Kristopher G Mixon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kristopher G Mixon is 1154419620. The last update date is 2007-07-08.

Kristopher G Mixon's current location address is 3432 Mercer University Dr, Macon, Georgia. You can contact this provider via phone number 4787558366 and fax number 4787558399. The mailing address for Kristopher G Mixon is 3432 Mercer University Dr, Macon, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristopher G Mixon
Address 3432 Mercer University Dr, Macon, Georgia
Phone Number 4787558366
Fax Number 4787558399
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1154419620
Provider Enumeration Date 2006-10-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3432 Mercer University Dr
City Macon
State Georgia (GA)
Post Code 312044902
Phone Number 4787558366
Fax Number 4787558399

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 13000
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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FAQs about Kristopher G Mixon

What is the Kristopher G Mixon's unique identification number?

The Kristopher G Mixon has been assigned the NPI (National Provider Identifier) Number 1154419620 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Kristopher G Mixon is physically located?

The Kristopher G Mixon is physically situated at the following address: 3432 Mercer University Dr, Macon, GA, 312044902.

What is Kristopher G Mixon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kristopher G Mixon is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Kristopher G Mixon receive the assignment of its 1154419620 from the Centers for Medicare & Medicaid Services?

The Kristopher G Mixon was issued its 1154419620 by the Centers for Medicare & Medicaid Services on 2006-10-10.

When was the information pertaining to Kristopher G Mixon most recently updated or revised?

The details related to Kristopher G Mixon, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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