Mixson, Charles M.

Mixson, Charles M. is an individual health care provider with primary practice located at 150 Nacoochee Ave , Athens GA 30601-1823. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Mixson, Charles M. can be contacted via phone (706) 546-7908.

Contact Information

Primary practice address
150 Nacoochee Ave Athens GA 30601-1823
Phone: (706) 546-7908
Fax: (706) 546-1944
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207YS0012X 052997 Georgia
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 052997 Georgia
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 052997 Georgia
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 052997 Georgia

Profile Details

NPI number 1053490342
LBN Legal business name Mixson, Charles M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Oct 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053490342 NPPES
Georgia Other 052997 GA. STATE LICENSE

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