Individual
MR. JOHN KERSEY THROCKMORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
111 E 3RD AVE, GASTONIA, NC 28052-4317
(704) 874-3300
(704) 874-0065
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
(704) 865-4614
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
702
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5335346
BCBS
—
Enumeration date
04/22/2006
Last updated
08/31/2023
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