Individual
DR. CHAD JAMISON MUXLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1315 JESSE JEWELL PKWY NE STE 300, GAINESVILLE, GA 30501-3875
(770) 848-6190
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0102203093
VA
207X00000X
Orthopaedic Surgery Physician
Primary
87680
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
0102203093
VA
Other
Enumeration date
05/29/2007
Last updated
01/13/2023
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