Mitchel L Thacker (NPI# 1710059498, PAC ID# 5496859399) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1710059498 |
| PAC ID by PECOS | 5496859399 |
| Professional Enrollment ID | I20130624000549 |
| Full Name | Mitchel L Thacker |
| Organization Legal Name | THACKER CHIROPRACTIC CLINIC, LLC |
| Address |
1927 Hwy 138 Ne Suite 500 Conyers GA 30013-2011 |
| Phone Number | 7708608333 |
| Gender | M |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 1983 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 9739160300 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1927 Hwy 138 Ne, Suite 500, Conyers, GA 30013-2011 | 7708608333 | THACKER CHIROPRACTIC CLINIC, LLC |
| Organization Legal Name | THACKER CHIROPRACTIC CLINIC, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Thacker | Chiropractic | Thacker Chiropractic Clinic, LLC | 1927 Hwy 138 Ne, Suite 500, Conyers, GA 30013-2011 |
| Alexis Smith | Chiropractic | Thacker Chiropractic Clinic, LLC | 1927 Hwy 138 Ne, Suite 500, Conyers, GA 30013-2011 |
| Street Address |
1927 HWY 138 NE SUITE 500 |
| City | CONYERS |
| State | GA |
| Zip | 30013-2011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Thacker | Chiropractic | Thacker Chiropractic Clinic, LLC | 1927 Hwy 138 Ne, Suite 500, Conyers, GA 30013-2011 |
| Alexis Smith | Chiropractic | Thacker Chiropractic Clinic, LLC | 1927 Hwy 138 Ne, Suite 500, Conyers, GA 30013-2011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roopal A Desa | Internal Medicine | 3641 Ga Hwy 20 Se, Suite A, Conyers, GA 30013 | |
| Ndidi E Madu | Family Medicine | 1815 Hwy 138 Se, Suite 800, Conyers, GA 30013 | |
| Danielle Waters | Nurse Practitioner | 1810 Hwy 20 Se, Suite 172, Conyers, GA 30013 | |
| Douglas Robert Slavin | Clinical Psychologist | 1807 Over Lake Drive Se, Suite F, Conyers, GA 30013-1709 | |
| Linda B Hagan | Clinical Social Worker | Hagan Ziegler and Associates PC | 1814 Lakefield Se Ct, Suite A, Conyers, GA 30013-1776 |
| Kaushik Amin | Internal Medicine | 2035 Flat Shoals Serd, Conyers, GA 30013-1809 | |
| Marlyn Wallace | Nurse Practitioner | Atlanta Plus Urgent Care | 2121 Salem Rd Se, Conyers, GA 30013-1823 |
| Savonia Grant | Nurse Practitioner | Atlanta Plus Urgent Care | 2121 Salem Rd Se, Conyers, GA 30013-1823 |
| Michael Cantrell | Podiatry | 2202 Salem Rd Se, Suite B, Conyers, GA 30013-1843 | |
| Farhana Quasem | Internal Medicine | Eastside Internal Medicine, LLC | 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953 |
| Find all physicians in zip 30013 | |||
| City | CONYERS |
| Zip Code | 30013 |
| Specialty | CHIROPRACTIC |
| City + Specialty | CONYERS + CHIROPRACTIC |
Please comment or provide details below to improve the information on Mitchel L Thacker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.