Whalio Doctors

NPI 1336456722

Rebecca Thaxton, MD

Practitioner General Practice Physician Charleston, WV

Practice location

Address
120 Cornwall Ln, Charleston, WV 25314-2493
Phone
(304) 205-4719
Fax
(304) 205-4719

Registered specialties

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 19163 (WV)

Registry record

NPI
1336456722
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Sep 2010
Record last updated
7 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.