Individual
MRS. CAROL RENEE' MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1 RIVERSIDE CIR, HAYESVILLE, NC 28904-7946
(828) 389-8052
(828) 389-8533
Mailing address
1 RIVERSIDE CIR, HAYESVILLE, NC 28904-7946
(828) 389-8052
(828) 389-8533
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
150853
NC
363LF0000X
Family Nurse Practitioner
RN077261
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000802062E
—
GA
05
—
5902096
—
NC
Enumeration date
06/29/2006
Last updated
11/15/2011
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