Individual
DR. ANDREA M THAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(912) 573-4220
(912) 573-2597
Mailing address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(912) 573-8801
(912) 573-2597
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME88475
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267766100
—
FL
Enumeration date
07/14/2005
Last updated
08/17/2023
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