Thacker Chiropractic Clinic, LLC

Chiropractor · Conyers, GA

Organization Active NPI

NPI number 1255489712

Practice location

1815 Highway 138 SE
Suite 600
Conyers, GA 30013-2079
Phone
(770) 860-8333
Fax
(770) 860-8833

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NPI record

NPI
1255489712
Entity type
Organization (Type 2)
Enumeration date
January 8, 2007
Last updated
August 6, 2010
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X CHIR002342 GA

Authorized official

Name
Dr. Mitchel L. Thacker, D.C
Title
Co-Owner
Phone
(770) 860-8333

About Thacker Chiropractic Clinic, LLC

Thacker Chiropractic Clinic, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1815 Highway 138 SE, Suite 600, Conyers, GA 30013-2079. The NPI number 1255489712 was assigned on January 8, 2007 and the record was last updated on August 6, 2010.

Thacker Chiropractic Clinic, LLC lists a license in the registry: #CHIR002342 (GA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Mitchel L. Thacker, D.C, Co-Owner.

Frequently asked questions

What is the NPI number of Thacker Chiropractic Clinic, LLC?

The NPI number is 1255489712.

What is the phone number of Thacker Chiropractic Clinic, LLC?

The phone number listed for the practice location is (770) 860-8333.

Where is Thacker Chiropractic Clinic, LLC located?

1815 Highway 138 SE, Suite 600, Conyers, GA 30013-2079.

What is the taxonomy code for Thacker Chiropractic Clinic, LLC?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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