Individual
LARRY T. HIXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACA-BC-HIS
Contact information
Practice address
940 BATTLEFIELD PKWY, FT OGLETHORPE, GA 30742-4044
(706) 858-0466
(503) 659-5968
Mailing address
8800 SE SUNNYSIDE RD STE 300N, CLACKAMAS, OR 97015-5703
(281) 286-2999
(512) 607-4893
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
GA
237700000X
Hearing Instrument Specialist
299
TN
237700000X
Hearing Instrument Specialist
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4033913
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
11/13/2007
Last updated
01/25/2018
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