Organization
THACKER FAMILY MEDICAL LLC
Active
Organization
THACKER FAMILY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHADWARD L. THACKER MD (OWNER)
(606) 509-2000
Entity
Organization
Contact information
Practice address
140 ADAMS LN STE 600-700, PIKEVILLE, KY 41501-3087
(606) 509-2000
(606) 509-2002
Mailing address
140 ADAMS LN STE 600-700, PIKEVILLE, KY 41501-3087
(606) 509-2000
(606) 509-2002
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
01/26/2024
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