Wixson, Timothy Alan

Wixson, Timothy Alan is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Wixson, Timothy Alan can be contacted via phone (706) 721-3494.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Phone: (706) 721-3494
Fax: (706) 721-3503
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 008955 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 008955 Georgia

Profile Details

NPI number 1124277553
LBN Legal business name Wixson, Timothy Alan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2008
Last updated May 19th, 2011 - about 14 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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