Nix, Kimberly Harris

Nix, Kimberly Harris is an individual health care provider with primary practice located at 100 Mimosa Drive Suite 1R, Thomasville GA 31792-6678. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nix, Kimberly Harris can be contacted via phone (229) 226-9141.

Contact Information

Primary practice address
100 Mimosa Drive Suite 1R Thomasville GA 31792-6678
Phone: (229) 226-9141
Fax: (229) 228-0637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005044 Georgia

Profile Details

NPI number 1801014006
LBN Legal business name Nix, Kimberly Harris
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Feb 21st, 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 1801014006 NPPES
Georgia MEDICAID 891063020G
Georgia Other GRP318
Georgia MEDICAID 891063020F
Georgia MEDICAID 891063020H

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