Organization
SHELLY MIXSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLY MIXSON D.M.D (OWNER)
(770) 333-9951
Entity
Organization
Contact information
Practice address
1133 E WEST CONNECTOR, AUSTELL, GA 30106-1589
(770) 333-9951
(770) 333-9953
Mailing address
1133 E WEST CONNECTOR, AUSTELL, GA 30106-1589
(770) 333-9951
(770) 333-9953
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012436
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101592
AVESIS
GA
01
—
9185964
DORAL
GA
Enumeration date
03/31/2008
Last updated
03/31/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us