Wixon, Christopher L.
Wixon, Christopher L. is an individual health care provider with primary practice located at 111 Persimmons St , Bluffton SC 29910-4779. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Wixon, Christopher L. can be contacted via phone (912) 629-7800.Contact Information
Primary practice address
111 Persimmons St
Bluffton SC 29910-4779
Phone: (912) 629-7800
Fax: (912) 355-1414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 049122 | Georgia |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 22196 | South Carolina |
Profile Details
| NPI number | 1407882582 |
|---|---|
| LBN Legal business name | Wixon, Christopher L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Sep 13th, 2022 - about 4 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 | 1407882582 | NPPES |
| Georgia | Other | 10065827 | AMERIGROUP |
| Georgia | MEDICAID | G49122 | AMERIGROUP |
| Georgia | Other | 349840 | AMERIGROUP |
| Georgia | MEDICAID | 000880569B | AMERIGROUP |
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