Organization
THACKER DERMATOLOGY LLC
Active
Organization
THACKER DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY PERRY THACKER (OWNER)
(229) 469-4383
Entity
Organization
Contact information
Practice address
4233 CAMELOT CROSSING, VALDOSTA, GA 31602
(229) 469-4383
(229) 469-4584
Mailing address
4233 CAMELOT CROSSING, VALDOSTA, GA 31602
(229) 469-4383
(229) 469-4584
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/17/2011
Last updated
10/26/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up