Individual
GREGORY CHRISTOPHER THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 BLYTHE BLVD, MEB 3, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
191583
NC
207P00000X
Emergency Medicine Physician
Primary
93499
SC
Other
Enumeration date
05/16/2013
Last updated
07/10/2025
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