Individual
ANTHONY GRANT THAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 W ARLINGTON BLVD STE 210, GREENVILLE, NC 27834-5758
(252) 752-5000
(252) 931-7694
Mailing address
PO BOX 30750, GREENVILLE, NC 27833-0750
(252) 752-5000
(252) 931-7694
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
2001-01290
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89135Y4
—
NC
Enumeration date
06/28/2006
Last updated
09/02/2016
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