Christopher C Thacker M.D.

NPI 1881658664 - Urology - 208800000X

NPI Details
NPI 1881658664
Gender Male
Enumeration Date 04/17/2006
Last Updated 10/23/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
400 BERYWOOD TRL NW
SUITE B
CLEVELAND TN, 37312-5287, US
Phone (423) 472-3201
Fax (423) 476-4949
Business Location
400 BERYWOOD TRL NW
SUITE B
CLEVELAND TN, 37312-5287, US
Phone (423) 472-3201
Fax (423) 476-4949
Toxanomy
Taxonomy Code 208800000X
License State Tennessee
License Number MD34911
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According to our database, Dr. Christopher C Thacker M.D. NPI is 1881658664, taxonomy code is 208800000X and license number is MD34911, license state is located at Tennessee. Christopher C Thacker M.D. physically located at 400 Berywood Trl Nw, Cleveland TN, 37312-5287. NPI Number Christopher C Thacker M.D. has the Individual type.

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1881658664 NPI number is provided on an as is basis without warranty of any kind. 1881658664 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher C Thacker M.D. are for informational purposes only.