Individual ProviderConstance Thetford HixsonFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address102 E Ravine Rd, Kingsport, TN 37660-3814(423) 245-9600PECOS EnrollmentBased on the most recent information from CMS, provider Constance Thetford Hixson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1972564540Provider TypeIndividualFull NameHixson, Constance ThetfordCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/31/2006Last Updated2/8/2016Contact InformationPractice LocationPractice Address102 E Ravine Rd, Kingsport, TN 37660-3814Phone(423) 245-9600Fax(423) 245-9634Mailing LocationMailing AddressPO Box 699, Mountain Home, TN 37684-0699PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense21960Tennessee