Individual
JONATHAN LEE NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1500 OGLETHORPE AVE, SUITE 300A, ATHENS, GA 30606-2179
(706) 543-5858
(706) 543-2050
Mailing address
1500 OGLETHORPE AVE, SUITE 300A, ATHENS, GA 30606-2179
(706) 543-5858
(706) 543-2050
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
003568
GA
363AS0400X
Surgical Physician Assistant
Primary
003568
GA
Other
Enumeration date
10/13/2006
Last updated
02/23/2009
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