Thacker Dermatology LLC

NPI #1326347238 in Valdosta, Georgia

Provider Information

NPI Number: 1326347238
Entity Type: Organization
Organization Name: Thacker Dermatology LLC
Primary Specialty: Dermatology
Enumeration Date: Mar 17, 2011
Last Updated: Oct 26, 2023

Practice Location

Address: 4233 CAMELOT CROSSING
City: Valdosta
State: Georgia
ZIP Code: 31602
Phone: (229) 469-4383

Authorized Official

Name: BETSY PERRY THACKER
Title: OWNER
Phone: (229) 469-4383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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