Healthcare Provider Details

I. General information

NPI: 1356340020
Provider Name (Legal Business Name): JAMES S HIXON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 LEIGHTON AVE SUITE 101
ANNISTON AL
36207-5700
US

IV. Provider business mailing address

901 LEIGHTON AVE SUITE 101
ANNISTON AL
36207-5700
US

V. Phone/Fax

Practice location:
  • Phone: 256-236-0890
  • Fax: 256-236-7078
Mailing address:
  • Phone: 256-236-0890
  • Fax: 256-236-7078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number8206
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: