Individual
DR. MARK KENNETH NIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
118 FOREST HAVEN DR, BLACKSBURG, SC 29702-8901
(864) 839-5895
Mailing address
118 FOREST HAVEN DR, BLACKSBURG, SC 29702-8901
(864) 839-5895
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1726
SC
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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