Thaxton, Anthony Grant

Thaxton, Anthony Grant is an individual health care provider with primary practice located at 2101 W Arlington Blvd Ste 210 , Greenville NC 27834-5758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Thaxton, Anthony Grant can be contacted via phone (252) 752-5000.

Contact Information

Primary practice address
2101 W Arlington Blvd Ste 210 Greenville NC 27834-5758
Phone: (252) 752-5000
Fax: (252) 931-7694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 2001-01290 North Carolina

Profile Details

NPI number 1407884695
LBN Legal business name Thaxton, Anthony Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Sep 2nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407884695 NPPES
North Carolina MEDICAID 89135Y4

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