Kijana Nicola Nix, MD,FAAP | |
455 S Main St Ste 103, Hinesville, GA 31313-4354 | |
(912) 408-6868 | |
(912) 876-6566 |
Full Name | Kijana Nicola Nix |
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Gender | Female |
Speciality | Pediatrics |
Location | 455 S Main St Ste 103, Hinesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043368756 | NPI | - | NPPES |
123310847A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | D67353 (Maryland) | Secondary |
208000000X | Pediatrics | 56610 (Georgia) | Primary |
Entity Name | Whc Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700154226 PECOS PAC ID: 6103093513 Enrollment ID: O20140711000014 |
Mailing Address | Practice Location Address |
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Kijana Nicola Nix, MD,FAAP 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 Ph: (540) 741-3303 | Kijana Nicola Nix, MD,FAAP 455 S Main St Ste 103, Hinesville, GA 31313-4354 Ph: (912) 408-6868 |
Dr. Nicole Stack Broerman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 462 Elma G Miles Pkwy, Hinesville, GA 31313 Phone: 912-369-9400 Fax: 912-877-9438 | |
Dr. Phillip O Ajayi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St Ste 101, Hinesville, GA 31313 Phone: 912-876-6868 Fax: 912-876-6566 | |
Mary Judith Allen, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 303 Fraser Dr, Hinesville, GA 31313 Phone: 912-877-2227 Fax: 912-877-2332 | |
Eric Lee Hall, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 512 S Main St Ste A, Hinesville, GA 31313 Phone: 912-369-5437 Fax: 912-369-5740 | |
Mrs. Brittany Loretta Carter, FNP-BC Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St Ste 103, Hinesville, GA 31313 Phone: 912-876-6868 Fax: 912-876-6566 | |
Douglas A Boudreau, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 303 Fraser Dr, Hinesville, GA 31313 Phone: 912-877-2227 Fax: 912-877-2332 |