Robert David Mixson, M.D. Valid NPI
Individual provider · Specialist · Saint Marys, GA
- NPI
- 1912904459
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- License number
- 039415 (GA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2005-06-30
- Last updated
- 2015-09-03
Practice location
104 Lakeshore Dr, Ste A
Saint Marys, GA 31558-3803
(912) 882-7100