Nix, Kijana Nicola

Nix, Kijana Nicola is an individual health care provider with primary practice located at 455 S Main St Ste 103 , Hinesville GA 31313-4354. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Nix, Kijana Nicola can be contacted via phone (912) 408-6868.

Contact Information

Primary practice address
455 S Main St Ste 103 Hinesville GA 31313-4354
Phone: (912) 408-6868
Fax: (912) 876-6566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D67353 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 56610 Georgia

Profile Details

NPI number 1043368756
LBN Legal business name Nix, Kijana Nicola
Credentials MD,FAAP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 30th, 2019 - about 5 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 1043368756 NPPES
Georgia MEDICAID 123310847A

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