John Thacker II, USAF IDMT
NPI #1023771615 in Robins Afb, Georgia
Provider Information
- NPI Number
- 1023771615
- Entity Type
- Individual
- Name
- John Thacker II, USAF IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- USAF IDMT
- Enumeration Date
- Oct 20, 2021
- Last Updated
- Oct 20, 2021
Practice Location
- Address
- 655 7TH ST UNIT 700
- City
- Robins Afb
- State
- Georgia
- ZIP Code
- 31098-2227
- Phone
- (606) 923-3485
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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