William Alexander Nixon Llc | |
11491 Us Highway 431 Albertville AL 35950-0136 | |
(256) 505-6826 | |
(256) 582-1100 |
Full Name | William Alexander Nixon Llc |
---|---|
Speciality | Family Medicine |
Location | 11491 Us Highway 431, Albertville, Alabama |
Authorized Official Name and Position | William A Nixon (MD/OWNER) |
Authorized Official Contact | 2565056826 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
William Alexander Nixon Llc Po Box 207 Guntersville AL 35976-0207 Ph: (256) 505-6826 | William Alexander Nixon Llc 11491 Us Highway 431 Albertville AL 35950-0136 Ph: (256) 505-6826 |
NPI Number | 1154513109 |
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Provider Enumeration Date | 08/14/2007 |
Last Update Date | 10/30/2013 |
Medicare PECOS PAC ID | 0345266425 |
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Medicare Enrollment ID | O20120327000705 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154513109 | NPI | - | NPPES |
1154513109 | Other | AL | NPI |
K644 | Other | AL | MEDICARE LEGACY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22839 (Alabama) | Primary |
Provider Name | William A Nixon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699731927 PECOS PAC ID: 6507832771 Enrollment ID: I20040908001511 |
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