John Randall Nixon
Nuclear Medicine Specialist
3623 Latrobe Dr Ste 216
Charlotte
, North Carolina 28211-1187
John Randall Nixon
Nuclear Medicine Specialist
3623 Latrobe Dr Ste 216
Charlotte
, North Carolina 28211-1187
(704) 332-5206
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- John Randall Nixon
- Po Box 221249
- Charlotte, NC
- Zip : 28222-1249
- Fax : (704) 332-5206
- Phone : (704) 332-1291
Second Address
- John Randall Nixon
- 3623 Latrobe Dr Ste 216
- Charlotte, NC
- Zip : 28211-1187
- Fax : (704) 332-5206
- Phone : (704) 332-1291
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | 31602 | NC |
National Provider Identifier
| NPI | 1679533707 |
|---|---|
| Provider Name | John Randall Nixon |
| First Address | Charlotte, NC 28222-1249 |
| Second Address | Charlotte, NC 28211-1187 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2006 |
| Last Update Date | 12/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8962689 | (05) | NC |
| D92946 | (02) | |
| N31602 | (05) | SC |
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.