Individual
CATHLEEN J NIXON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
102 ROCKCREEK BLVD, GREENWOOD, SC 29649-8915
(864) 227-5020
Mailing address
187 HIGHLAND DR, GREENWOOD, SC 29649-8983
(864) 227-5020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F415
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B0829
MEDCOST
SC
05
—
NP0218
—
SC
Enumeration date
05/20/2006
Last updated
07/08/2007
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