Individual
WILLIAM CARL THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
209 N COLLEGE ST, GREENEVILLE, TN 37745-5092
(423) 639-5781
(423) 639-2218
Mailing address
209 N COLLEGE ST, GREENEVILLE, TN 37745-5092
(423) 639-5781
(423) 639-2218
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD0000004219
TN
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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