Mix, John William
Mix, John William is an individual health care provider with primary practice located at 575 1St St , Macon GA 31201-2825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Mix, John William can be contacted via phone (478) 743-9762.Contact Information
Primary practice address
575 1St St
Macon GA 31201-2825
Phone: (478) 743-9762
Fax: (478) 743-9465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 055271 | Georgia |
Profile Details
| NPI number | 1558543389 |
|---|---|
| LBN Legal business name | Mix, John William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2007 |
| Last updated | Oct 26th, 2020 - about 6 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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