Organization
DR. D. WINSTON THAXTON 111
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DILLARD WINSTON THAXTON II O.D. (OPTOMETRIST)
(615) 297-7547
Entity
Organization
Contact information
Practice address
4301 HILLSBORO PIKE, 330, NASHVILLE, TN 37215-3345
(615) 297-7547
(615) 297-7576
Mailing address
4301 HILLSBORO PIKE, 330, NASHVILLE, TN 37215-3345
(615) 297-7547
(615) 297-7576
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0272980001
DME
TN
Enumeration date
02/26/2007
Last updated
04/22/2008
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