Thackston, Tricia W

Thackston, Tricia W is an individual health care provider with primary practice located at 720 Westview Dr Sw , Atlanta GA 30310-1458. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Thackston, Tricia W can be contacted via phone (404) 616-3200.

Contact Information

Primary practice address
720 Westview Dr Sw Atlanta GA 30310-1458
Phone: (404) 616-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X RN154255 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN154255 Georgia

Profile Details

NPI number 1801136593
LBN Legal business name Thackston, Tricia W
Credentials RN, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2013
Last updated Feb 18th, 2013 - about 11 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.

Request for update

Popular Providers