Individual
DR. JOHN WILLIAM MIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1902 FORSYTH ST, MACON, GA 31201-8132
(478) 250-9785
(478) 202-9505
Mailing address
1902 FORSYTH ST, MACON, GA 31201-8132
(478) 250-9785
(478) 202-9505
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
055271
GA
Other
Enumeration date
12/04/2007
Last updated
09/18/2025
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