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Individual
DR. JAMES DEWEY THACKER JR.
Active
Individual
DR. JAMES DEWEY THACKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
40660
CO
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
AL 13577
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511-22515
BLUE CROSS
AL
Enumeration date
12/14/2006
Last updated
02/16/2023
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