Organization · Type 2 NPI
Thaxton Family Medical Clinic LLC
Primary Care Nurse Practitioner · Thaxton, MS
NPI number
1124505912
Active
Practice location
11145 Highway 6 W
Thaxton, MS 38871-9024
Fax (662) 489-8600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 901818 (MS) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 901818 (MS) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1124505912
Thaxton Family Medical Clinic LLC's National Provider Identifier is 1124505912, issued on Jul 24, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Thaxton, MS. The record was last updated on Jul 24, 2018.