Charles M. Mixson in Athens - Plastic Surgery Within The Head & Neck
Charles M. Mixson - NPI 1053490342
Charles M. Mixson is a Plastic Surgery Within The Head & Neck in Athens, Georgia. Charles M. Mixson practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Charles M. Mixson is 1053490342. The last update date is 2012-10-24.
Charles M. Mixson's current location address is 150 Nacoochee Ave, Athens, Georgia. You can contact this provider via phone number 7065467908 and fax number 7065461944. The mailing address for Charles M. Mixson is 150 Nacoochee Ave, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Charles M. Mixson |
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Address | 150 Nacoochee Ave, Athens, Georgia |
Phone Number | 7065467908 |
Fax Number | 7065461944 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1053490342 |
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Provider Enumeration Date | 2006-11-06 |
Last Updated Date | 2012-10-24 |
Provider Mailing Address Detail
Address | 150 Nacoochee Ave |
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City | Athens |
State | Georgia (GA) |
Post Code | 306011823 |
Phone Number | 7065467908 |
Fax Number | 7065461944 |
Provider's Primary Taxonomy Detail
Speciality | Plastic Surgery Within The Head & Neck |
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Taxonomy | 207Yx0007X |
Licence No | 52997 |
Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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52997 | GA | GA. STATE LICENSE |
Post Comment/ Review Below
What is the Charles M. Mixson's 1053490342?
The Charles M. Mixson's NPI (National Provider Identifier) Number is 1053490342. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Charles M. Mixson?
The Charles M. Mixson is situated at 150 Nacoochee Ave, in the city of Athens, state of GA, with the zip code 306011823.
What is Charles M. Mixson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charles M. Mixson's specialized field of practice is Plastic Surgery Within The Head & Neck, and the corresponding taxonomy code that categorizes this area of specialization is 207Yx0007X.
When did Charles M. Mixson receive its 1053490342 assignment?
The Charles M. Mixson was assigned its 1053490342 on 2006-11-06, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Charles M. Mixson most recently updated or revised?
The details related to Charles M. Mixson, including its address, specialty, and other relevant information, were last updated or revised on 2012-10-24.