Nix, Malissa
Nix, Malissa is an individual health care provider with primary practice located at 4425 Paulsen St , Savannah GA 31405-3637. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Nix, Malissa can be contacted via phone (912) 525-1314.Contact Information
Primary practice address
4425 Paulsen St
Savannah GA 31405-3637
Phone: (912) 525-1314
Fax: (912) 354-5970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 4680 | Georgia |
Profile Details
| NPI number | 1508093287 |
|---|---|
| LBN Legal business name | Nix, Malissa |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2009 |
| Last updated | May 29th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508093287 | NPPES |
| Georgia | MEDICAID | 027147597B |
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