Individual
ANTHONY R MARKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
18 DOCTORS CIR, SUPPLY, NC 28462-4089
(910) 755-7217
Mailing address
902 N HOWE ST, SOUTHPORT, NC 28461-3038
(910) 457-4789
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
9057
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9057
LICENSE
NC
Enumeration date
01/26/2007
Last updated
07/08/2007
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