NPI | 1578834644 |
---|---|
Former Legal Business Name | STEWART AND THAXTON, PLLC |
Doing Business As | THAXTON PLASTIC SURGERY, PLLC |
Entity Type | Organization |
Authorized Contact | JEFFREY NORMAN THAXTON Member 304-925-8949 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery |
Enumeration Date | 2012-01-23 |
Last Update Date | 2021-07-21 |