Individual
DR. REBECCA THAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 CORNWALL LN, CHARLESTON, WV 25314-2493
(304) 205-4719
(304) 205-4719
Mailing address
120 CORNWALL LN, CHARLESTON, WV 25314-2493
(304) 205-4719
(304) 205-4719
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19163
WV
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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