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Individual

DR. PAUL M THAXTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7013 EVANS TOWN CENTER BLVD, SUITE 101, EVANS, GA 30809-5117
(706) 922-4545
(866) 777-2246
Mailing address
7013 EVANS TOWN CENTER BLVD, SUITE 101, EVANS, GA 30809-5117
(706) 922-4545
(866) 777-2246

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
016291
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000184489C
GA
Enumeration date
05/23/2006
Last updated
01/19/2011
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