Healthcare Provider Details

I. General information

NPI: 1831614924
Provider Name (Legal Business Name): JEFFREY PARKER NIX PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2017
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 MALL BLVD
SAVANNAH GA
31406-4700
US

IV. Provider business mailing address

318 MALL BLVD
SAVANNAH GA
31406-4700
US

V. Phone/Fax

Practice location:
  • Phone: 912-200-9165
  • Fax: 912-200-9166
Mailing address:
  • Phone: 912-200-9165
  • Fax: 912-200-9166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number030132
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number37299
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: