Individual
STEPHEN NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C-AA
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6952
Mailing address
PO BOX 743070, ATTN: CREDENTIALING DEPT, BUILDING F, SUITE 100, ATLANTA, GA 30374-3070
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
141
SC
367H00000X
Anesthesiologist Assistant
3700
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000710A
—
GA
05
—
100000710B
—
GA
05
—
100000710C
—
GA
Enumeration date
10/03/2005
Last updated
09/10/2025
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