Individual
DR. LARRY G THACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5114 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7054
(910) 799-1400
(910) 799-3127
Mailing address
5114 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7054
(910) 799-1400
(910) 799-3127
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
746
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08833
BCBSNC
NC
05
—
8908833
—
NC
Enumeration date
11/16/2006
Last updated
07/08/2007
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