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Mr. Corry Benson Haxton
Specialist in Centerville, Ohio
NPI 1699964676

Corry Benson Haxton is a Specialist based in Centerville, OH. Corry Benson Haxton practices in Centerville, OH. The NPI Number for Corry Benson Haxton is 1699964676 and holds a License No. PTA00518 (Ohio).

The current practice location address for Corry Benson Haxton is 6122 Fireside Dr, Centerville, OH and can be reached out via phone at 937-723-7503.

Location: 6122 Fireside Dr, Centerville, OH, 45459-2035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699964676
Provider Name
Corry Benson Haxton
Credential
Provider Entity Type
Individual
Gender
Male
Address
6122 Fireside Dr, Centerville, OH, 45459-2035
Phone Number
937-723-7503
Fax Number
Provider Enumeration Date
10/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6122 Fireside Dr
City
Centerville
State
Ohio
Zip
45459-2035
Phone Number
937-723-7503
Fax Number
person
Provider Business Mailing Address Details
Address
6122 Fireside Dr
City
Centerville
State
Ohio
Zip
45459-2035
Phone Number
937-723-7503
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PTA00518 (Ohio)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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