Robert David Mixson in Saint Marys - Specialist
Robert David Mixson - NPI 1912904459
Robert David Mixson is a Specialist in Saint Marys, Georgia. Robert David Mixson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Robert David Mixson is 1912904459. The last update date is 2015-09-03.
Robert David Mixson's current location address is 104 Lakeshore Dr, Saint Marys, Georgia. You can contact this provider via phone number 9128827100 and fax number 9128829149. The mailing address for Robert David Mixson is 104 Lakeshore Dr, Saint Marys, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert David Mixson |
|---|---|
| Address | 104 Lakeshore Dr, Saint Marys, Georgia |
| Phone Number | 9128827100 |
| Fax Number | 9128829149 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912904459 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2015-09-03 |
Provider Mailing Address Detail
| Address | 104 Lakeshore Dr |
|---|---|
| City | Saint Marys |
| State | Georgia (GA) |
| Post Code | 315583803 |
| Phone Number | 9128827100 |
| Fax Number | 9128829149 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 39415 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code issued to Robert David Mixson by the Centers for Medicare & Medicaid Services?
The Robert David Mixson has been assigned the NPI (National Provider Identifier) 1912904459 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Robert David Mixson's facilities are geographically located?
The facilities of Robert David Mixson are physically situated at the following location: 104 Lakeshore Dr, Saint Marys, GA, 315583803.
What is the area of specialization for Robert David Mixson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Robert David Mixson is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912904459 to Robert David Mixson?
The Centers for Medicare & Medicaid Services originally issued the 1912904459 to Robert David Mixson on 2005-06-30.
When was the information pertaining to Robert David Mixson most recently updated or revised?
The details related to Robert David Mixson, including its address, specialty, and other relevant information, were last updated or revised on 2015-09-03.