| 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 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 10/30/2013 |
| Medicare PECOS PAC ID | 0345266425 |
|---|---|
| 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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