Individual
DR. BAXTER DIXON THARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5770
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5770
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101246167
VA
2085R0202X
Diagnostic Radiology Physician
DR.0054157
CO
2085R0202X
Diagnostic Radiology Physician
Primary
ME135337
FL
Other
Enumeration date
06/11/2008
Last updated
09/03/2020
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