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Mark Thaxton
NPI 1659047652 · on the registry since 2021
Practice
- Address
- 2011 Fort Campbell Blvd Unit 2312
Clarksville, TN 37042 - Phone
- (615) 519-7799
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee