Angela Nicole Nix
Physical Therapist - Orthopedic
724 Beavers Rd
Canton
, Georgia 30115-6138
Angela Nicole Nix
Physical Therapist - Orthopedic
724 Beavers Rd
Canton
, Georgia 30115-6138
(404) 247-0174
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Angela Nicole Nix
- 724 Beavers Rd
- Canton, GA
- Zip : 30115-6138
- Phone : (404) 247-0174
Second Address
- Angela Nicole Nix
- 724 Beavers Rd
- Canton, GA
- Zip : 30115-6138
- Phone : (404) 247-0174
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | PT008404 | GA |
National Provider Identifier
| NPI | 1053563601 |
|---|---|
| Provider Name | Angela Nicole Nix |
| First Address | Canton, GA 30115-6138 |
| Second Address | Canton, GA 30115-6138 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/10/2008 |
| Last Update Date | 26/09/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 511I650397 | MEDICARE PTAN (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.