Thacker, Mitchel L.
Thacker, Mitchel L. is an individual health care provider with primary practice located at 1815 Highway 138 Se Suite 600, Conyers GA 30013-2079. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Thacker, Mitchel L. can be contacted via phone (770) 860-8333.Contact Information
Primary practice address
1815 Highway 138 Se Suite 600
Conyers GA 30013-2079
Phone: (770) 860-8333
Fax: (770) 860-8833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIR002342 | Georgia |
Profile Details
| NPI number | 1710059498 |
|---|---|
| LBN Legal business name | Thacker, Mitchel L. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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