Mitchel L. Thacker, D.C.

Chiropractor · Conyers, GA

Individual Active NPI

NPI number 1710059498

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
1710059498
Entity type
Individual (Type 1)
Enumeration date
November 15, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X CHIR002342 GA

Mailing address

2575 Abbey Ridge Rd SW
Conyers, GA 30094-3459
Phone
(770) 860-8333
Fax
(770) 860-8833

About Dr. Thacker

Mitchel L. Thacker, D.C. is a healthcare provider 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 1710059498 was assigned on November 15, 2006 and the record was last updated on July 8, 2007.

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

Frequently asked questions

What is the NPI number of Mitchel L. Thacker, D.C.?

The NPI number is 1710059498.

What is the phone number of Dr. Thacker?

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

Where is Dr. Thacker located?

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

What is the taxonomy code for Dr. Thacker?

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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