Search › Georgia › 152W00000X
Shundale Mixon, OD
NPI 1013403088 · on the registry since 2018
Practice
- Address
- 1300 Peachtree Industrial Blvd Ste 1206
Suwanee, GA 30024 - Phone
- (334) 318-0713
- Organisation at this address
- Tc Time, Llc
Chc Suwanee Llc
Gwinnett Urgent Care
Perry Md Medical Llc
Optimal Longevity LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 37
Additional practice sites
- 2900 Peachtree Rd Nw Ste 301, Atlanta, GA
- 8400 Holcomb Bridge Rd Ste 440, Alpharetta, GA
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia