Individual
DR. JONATHAN BENNETT HIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4543 CHARLOTTE HWY STE 11, CLOVER, SC 29710-7057
(803) 831-1454
Mailing address
4160 PARK SOUTH STATION BLVD, CHARLOTTE, NC 28210-4553
(336) 543-3194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10169
SC
225100000X
Physical Therapist
Primary
P19378
NC
Other
Enumeration date
03/10/2020
Last updated
04/27/2020
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