Individual
ANNA MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
18137 W CATAWBA AVE STE 6, CORNELIUS, NC 28031-5641
(704) 549-9550
Mailing address
10400 MALLARD CREEK RD STE 340, CHARLOTTE, NC 28262-5203
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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