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1407884695
ANTHONY GRANT THAXTON
GREENVILLE, NC
NPI
1407884695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085B0100X Radiology, Body Imaging
(Licence: NC 2001-01290)
Enumeration Date
2006-06-28
Last Update Date
2016-09-02
Business Address
-- ANTHONY GRANT THAXTON MD
2101 W ARLINGTON BLVD STE 210
GREENVILLE, NC 27834-5758
Phone number: 252-752-5000
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Mailing Address
-- ANTHONY GRANT THAXTON MD
PO BOX 30750
GREENVILLE, NC 27833-0750
Phone number: 252-752-5000
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