Individual
KRISTOPHER G MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3432 MERCER UNIVERSITY DR, MACON, GA 31204-4902
(478) 755-8366
(478) 755-8399
Mailing address
3432 MERCER UNIVERSITY DR, MACON, GA 31204-4902
(478) 755-8366
(478) 755-8399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13000
GA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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