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Individual

TRISHNA CHAND THAKUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MBBS

Contact information

Practice address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114
(910) 938-1118
Mailing address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114
(910) 938-1118

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
321065
NC
390200000X
Student in an Organized Health Care Education/Training Program
0116038103
VA
390200000X
Student in an Organized Health Care Education/Training Program
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/11/2019
Last updated
05/22/2024
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