Individual
DR. CHARLES M. MIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 NACOOCHEE AVE, ATHENS, GA 30601-1823
(706) 546-7908
(706) 546-1944
Mailing address
150 NACOOCHEE AVE, ATHENS, GA 30601-1823
(706) 546-7908
(706) 546-1944
Taxonomy
Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
052997
GA
207YS0123X
Facial Plastic Surgery Physician
052997
GA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
052997
GA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
052997
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052997
GA. STATE LICENSE
GA
Enumeration date
11/06/2006
Last updated
10/24/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us