| William Thomas Thacker, | |
|
23255 Shadowridge Dr, Daphne, AL 36526-3904 | |
| (256) 614-9527 | |
| Not Available |
| Full Name | William Thomas Thacker |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 23255 Shadowridge Dr, Daphne, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801704093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 159794 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| William Thomas Thacker, 23255 Shadowridge Dr, Daphne, AL 36526-3904 Ph: (256) 614-9527 | William Thomas Thacker, 23255 Shadowridge Dr, Daphne, AL 36526-3904 Ph: (256) 614-9527 |
Mrs. Shawn C. Helton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6495 Harboe Place Dr, Daphne, AL 36526 Phone: 251-621-6871 |
Charles Rutter, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 24852 Bridges Dr W, Daphne, AL 36526 Phone: 251-626-5435 |