Thacker Chiropractic Clinic, Llc

NPI 1255489712 - Chiropractor - 111N00000X

NPI Details
NPI 1255489712
Enumeration Date 01/08/2007
Last Updated 08/06/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MITCHEL L. MITCHEL
Position CO-OWNER
Phone (770) 860-8333
Fax (770) 860-8833
Practice Location
1815 HIGHWAY 138 SE
SUITE 600
CONYERS GA, 30013-2079, US
Phone (770) 860-8333
Fax (770) 860-8833
Business Location
1815 HIGHWAY 138 SE
SUITE 600
CONYERS GA, 30013-2079, US
Phone (770) 860-8333
Fax (770) 860-8833
Toxanomy
Taxonomy Code 111N00000X
License State Georgia
License Number CHIR002342
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According to our database, Thacker Chiropractic Clinic, Llc NPI is 1255489712, taxonomy code is 111N00000X and license number is CHIR002342, license state is located at Georgia. Thacker Chiropractic Clinic, Llc physically located at 1815 Highway 138 Se, Conyers GA, 30013-2079. NPI Number 1033115704 has the healthcare provider type.

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1255489712 NPI number is provided on an as is basis without warranty of any kind. 1255489712 is maintained by the National Plan & Provider Enumeration System. The contents of Thacker Chiropractic Clinic, Llc are for informational purposes only.