Dr Steven Mark Thacker, DC | |
1815 Highway 138 Se, Suite 600, Conyers, GA 30013-2079 | |
(770) 860-8333 | |
(770) 860-8833 |
Full Name | Dr Steven Mark Thacker |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 34 Years |
Location | 1815 Highway 138 Se, Conyers, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598837296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIROO3134 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thacker Chiropractic Clinic, Llc | 9739160300 | 2 |
Provider Name | Thacker Chiropractic Clinic, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255489712 PECOS PAC ID: 9739160300 Enrollment ID: O20040528000454 |
Mailing Address | Practice Location Address |
---|---|
Dr Steven Mark Thacker, DC 1815 Highway 138 Se, Suite 600, Conyers, GA 30013-2079 Ph: (770) 860-8333 | Dr Steven Mark Thacker, DC 1815 Highway 138 Se, Suite 600, Conyers, GA 30013-2079 Ph: (770) 860-8333 |
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