Individual
ALYSSA MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
515 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903-2981
(434) 244-2000
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
268206
MA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0102206785
VA
Other
Enumeration date
06/30/2016
Last updated
08/10/2023
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