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Dr. Charles M. Mixson

Facial Plastic Surgeon Plastic Surgeon (Head & Neck) Otolaryngology/Facial Plastic Surgery

150 Nacoochee Ave
Athens , Georgia 30601-1823

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Facial Plastic Surgeon
  • Plastic Surgeon (Head & Neck)
  • Otolaryngology/Facial Plastic Surgery

Languages spoken

  • English

Location

150 Nacoochee Ave Athens , Georgia 30601-1823

First Address

  • Dr. Charles M. Mixson
  • 150 Nacoochee Ave
  • Athens, GA
  • Zip : 30601-1823
  • Fax : (706) 546-1944
  • Phone : (706) 546-7908

Second Address

  • Dr. Charles M. Mixson
  • 150 Nacoochee Ave
  • Athens, GA
  • Zip : 30601-1823
  • Fax : (706) 546-1944
  • Phone : (706) 546-7908

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FAQs


Where did Dr. Charles M. Mixson attend graduate school?

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Where did Dr. Charles M. Mixson do his residency?

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Where did Dr. Charles M. Mixson do his fellowship?

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Is Dr. Charles M. Mixson board certified?

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In what state does Dr. Charles M. Mixson practice in?

Georgia

Where is Dr. Charles M. Mixson ’s practice located?

150 Nacoochee Ave , Athens, Georgia, 30601-1823

What is Dr. Charles M. Mixson ’s gender?

Male

Is Dr. Charles M. Mixson a sole practitioner?

No

Is Dr. Charles M. Mixson accepting new patients?

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What languages does Dr. Charles M. Mixson speak?

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Does Dr. Charles M. Mixson accept insurance?

Yes, Dr. Charles M. Mixson accepts insurance

Does Dr. Charles M. Mixson offers telemedicine?

Dr. Charles M. Mixson has not indicated if he offers telemedicine

What is Dr. Charles M. Mixson ’s professional license number?

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What is Dr. Charles M. Mixson ’s NPI number?

1053490342

Does Dr. Charles M. Mixson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207YS0123X Facial Plastic Surgeon 052997 GA
N 207YX0007X Plastic Surgeon (Head & Neck) 052997 GA
N 207YX0905X Otolaryngology/Facial Plastic Surgery 052997 GA

National Provider Identifier

NPI 1053490342
Provider Name Dr. Charles M. Mixson
First Address Athens, GA 30601-1823
Second Address Athens, GA 30601-1823
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 06/11/2006
Last Update Date 24/10/2012

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
052997 GA. STATE LICENSE (01) GA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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