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THACKER FAMILY MEDICAL LLC 1134898364

Overview
Name: THACKER FAMILY MEDICAL LLC Specialty: Rural Health Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Rural Health. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: THACKER FAMILY MEDICAL LLC,140 ADAMS LN STE 600-700,PIKEVILLE,KY,415013087,US Mailing Address: THACKER FAMILY MEDICAL LLC,140 ADAMS LN STE 600-700,PIKEVILLE,KY,415013087,US
Contact #
Practice location phone #: 6065092000 Practice location fax #: 6065092002 Mailing address Phone #: 6065092000 Mailing Address fax #: 6065092002 Authorized official Name/Telephone #:BRITTANY, BROWN, CREDENTIALING 4072038957
Misc
Date NPI was obtained: 09/10/2021 Last data data was updated: 01/24/2022 Insurances:

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