| Thacker, Thompson & Bernard | |
|
619 Rankin St Ne Atlanta GA 30308-2920 | |
| (404) 874-3102 | |
| (404) 874-4817 |
| Full Name | Thacker, Thompson & Bernard |
|---|---|
| Speciality | Clinic/Center |
| Location | 619 Rankin St Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Sheryl Vernon Thacker (MANAGER) |
| Authorized Official Contact | 4048743102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thacker, Thompson & Bernard 619 Rankin St Ne Atlanta GA 30308-2920 Ph: (404) 874-3102 | Thacker, Thompson & Bernard 619 Rankin St Ne Atlanta GA 30308-2920 Ph: (404) 874-3102 |
| NPI Number | 1366595118 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 01/26/2012 |
| Medicare PECOS PAC ID | 0941281935 |
|---|---|
| Medicare Enrollment ID | O20040526000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366595118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | GA024356 (Georgia) | Primary |
| Provider Name | Melanie A Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235272428 PECOS PAC ID: 3870522584 Enrollment ID: I20050811000860 |
| Provider Name | Annette M Bernard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831232024 PECOS PAC ID: 0648209643 Enrollment ID: I20050811000886 |
| Provider Name | Sheryl V Thacker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053454389 PECOS PAC ID: 6002845724 Enrollment ID: I20050811000909 |
| Provider Name | Hogai G Nassery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598860298 PECOS PAC ID: 2365541976 Enrollment ID: I20070622000273 |
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