Individual
MR. CHRISTOPHER DAVID THAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO, ABO, NCLEC
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2136
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136
LICENSED OPTICIAN
NC
Enumeration date
05/02/2007
Last updated
06/09/2020
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