Thacker Family Medical LLC

NPI #1134898364 in Pikeville, Kentucky

Provider Information

NPI Number: 1134898364
Entity Type: Organization
Organization Name: Thacker Family Medical LLC
Primary Specialty: Clinic/Center - Rural Health
Enumeration Date: Sep 10, 2021
Last Updated: Jan 26, 2024

Practice Location

Address: 140 ADAMS LN STE 600-700
City: Pikeville
State: Kentucky
ZIP Code: 41501-3087
Phone: (606) 509-2000

Authorized Official

Name: CHADWARD L. THACKER, MD
Title: OWNER
Phone: (606) 509-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rural Health — Rural Health	261QR1300X	Primary

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