Dr WILLIAM AVERY MIX is a male medical professional, specializing in Family Medicine. He graduated in 1977 from State Un Of Ny, Buffalo School Of Dental Medicine.
MARTHA JEFFERSON MEDICAL GROUP LLC
33 REBECCA DR
PALMYRA
VA
229636242
Tel: 4346544680
| Npi | 1720086622 |
| Pac Id | 5698816569 |
| Professional Enrollment Id | I20161220002556 |
| Last Name | MIX |
| First Name | WILLIAM |
| Middle Name | AVERY |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | STATE UN OF NY, BUFFALO SCHOOL OF DENTAL MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | MARTHA JEFFERSON MEDICAL GROUP LLC |
| Group Practice Pac Id | 5991889081 |
| Number Of Group Practice Members | 153 |
| Line 1 Street Address | 33 REBECCA DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PALMYRA |
| State | VA |
| Zip Code | 229636242 |
| Phone Number | 4346544680 |
| Hospital Affiliation Ccn 1 | 490077 |
| Hospital Affiliation Lbn 1 | SENTARA MARTHA JEFFERSON HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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