Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES M. MIXSON, M.D.
ActiveDR. CHARLES M. MIXSON, M.D. is a 207YS0012X healthcare provider located in ATHENS, Georgia. NPI 1053490342 is currently active in the NPPES registry. Verify at CMS.
207YS0012X · ATHENS, GA
Registration Details
- NPI Number
- 1053490342
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2006 (19.782657139664 yrs)
- Last Updated
- Oct 24, 2012
- Licenses
-
052997 (GA)052997 (GA)052997 (GA)052997 (GA)
Practice Information
- Address
-
150 NACOOCHEE AVEATHENS, GA, 306011823Browse GA providers · Browse ZIP 30601
- Phone
- 7065467908
- Fax
- 7065461944
- Primary Specialty
-
207YS0012X
207YS0012X
- Additional Specialty
- Sleep Medicine (Otolaryngology)
- Additional Specialty
- Plastic Surgery within the Head & Neck
- Additional Specialty
- Facial Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.