| Thacker Chiropractic Clinic, Llc | |
|
1815 Highway 138 Se, Suite 600, Conyers, GA 30013-2079 | |
| (770) 860-8333 | |
| (770) 860-8833 |
| Full Name | Thacker Chiropractic Clinic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1815 Highway 138 Se, Conyers, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255489712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR002342 (Georgia) | Primary |
| Provider Name | Steven M Thacker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598837296 PECOS PAC ID: 3678677572 Enrollment ID: I20111227000541 |
| Provider Name | Mitchel L Thacker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710059498 PECOS PAC ID: 5496859399 Enrollment ID: I20130624000549 |
| Mailing Address | Practice Location Address |
|---|---|
| Thacker Chiropractic Clinic, Llc 1815 Highway 138 Se, Suite 600, Conyers, GA 30013-2079 Ph: (770) 860-8333 | Thacker Chiropractic Clinic, Llc 1815 Highway 138 Se, Suite 600, Conyers, GA 30013-2079 Ph: (770) 860-8333 |
Stephen Sabol, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1003 E Freeway Dr Se, Conyers, GA 30094 Phone: 770-760-0060 | |
Eastern Health Center Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1455 Old Mcdonough Hwy #c, Conyers, GA 30094 Phone: 678-210-2225 Fax: 678-201-2226 | |
Dr. Dominique Dessausure, CHIROPRACTOR Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2375 Wall St Se, Conyers, GA 30013 Phone: 404-947-8262 | |
Fortin Chiropractic & Athletic Health Care Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1003 E Freeway Dr Se, Conyers, GA 30094 Phone: 770-760-0060 Fax: 770-760-0409 | |
Bruce Costello, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2365 Wall St Se, Suite 100, Conyers, GA 30013 Phone: 770-922-8187 Fax: 770-922-9107 | |
Conyers Family Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 2365 Wall St. Suite 120, Conyers, GA 30013 Phone: 770-922-8187 Fax: 770-922-9107 | |
Conyers Holistic Chiropractic & Nutrition Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 969 Okelly St Se, Conyers, GA 30012 Phone: 770-648-7445 |