Thacker Chiropractic Clinic, LLC

NPI #1255489712 in Conyers, Georgia

Provider Information

NPI Number: 1255489712
Entity Type: Organization
Organization Name: Thacker Chiropractic Clinic, LLC
Primary Specialty: Chiropractor
Enumeration Date: Jan 8, 2007
Last Updated: Aug 6, 2010

Practice Location

Address: 1815 HIGHWAY 138 SE
Address 2: SUITE 600
City: Conyers
State: Georgia
ZIP Code: 30013-2079
Phone: (770) 860-8333

Authorized Official

Name: DR. MITCHEL L. THACKER, D.C
Title: CO-OWNER
Phone: (770) 860-8333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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