Individual provider · Type 1 NPI
Mitchel L. Thacker, DC
Chiropractor · Conyers, GA
NPI number
1710059498
Active
Practice location
1815 Highway 138 SE, Suite 600
Conyers, GA 30013-2079
Fax (770) 860-8833
Mailing address
2575 Abbey Ridge Rd SW
Conyers, GA 30094-3459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR002342 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3 other providers at this address
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- Ryan Paramo, DCChiropractor Conyers, GA NPI 1194264630
- Johanna ColeChiropractor Conyers, GA NPI 1316431513
- Margaret Spencer, DCChiropractor Conyers, GA NPI 1336523489
- Tania A. Klubenspies, DCChiropractor Conyers, GA NPI 1417270778
- Thomas Edward Johnson, DCChiropractor Conyers, GA NPI 1457423113
About NPI 1710059498
Mitchel L. Thacker, DC's National Provider Identifier is 1710059498, issued on Nov 15, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Conyers, GA. The record was last updated on Jul 8, 2007.