Individual
DR. CLARENCE R HIXON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D., FACS
Contact information
Practice address
285 BOULEVARD NE, SUITE 440, ATLANTA, GA 30312-4205
(404) 265-3333
(404) 265-3334
Mailing address
285 BOULEVARD NE, SUITE 440, ATLANTA, GA 30312-4205
(404) 265-3333
(404) 265-3334
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
037233
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00565012B
—
GA
Enumeration date
06/25/2006
Last updated
07/08/2007
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