Individual
KIJANA NICOLA NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD,FAAP
Contact information
Practice address
455 S MAIN ST STE 103, HINESVILLE, GA 31313-4354
(912) 408-6868
(912) 876-6566
Mailing address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-3303
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56610
GA
208000000X
Pediatrics Physician
D67353
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123310847A
—
GA
Enumeration date
01/08/2007
Last updated
07/30/2019
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