Individual
GEORGE A. NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-4588
(706) 721-7264
Mailing address
1120 15TH ST STE BI-1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022854
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000271752H
—
GA
05
—
G22854
—
SC
Enumeration date
09/22/2006
Last updated
11/01/2019
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