Individual
DR. DOLPHUS ALLEN THACKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5410 PAGE RD, STE 3, DURHAM, NC 27703-8230
(919) 474-8400
(919) 947-8486
Mailing address
5410 PAGE RD, STE 3, DURHAM, NC 27703-8230
(919) 474-8400
(919) 947-8486
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4182
NC
Other
Enumeration date
03/16/2011
Last updated
05/23/2016
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