JOHN THACKER

ROBINS AFB, GA
NPI1023771615
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider Independent Duty Medical Technicians
Enumeration Date2021-10-20
Last Update Date2021-10-20
Business Address
JOHN THACKER USAF IDMT
655 7TH ST UNIT 700
ROBINS AFB, GA 31098-2227
Phone number: 606-923-3485
Mailing Address
JOHN THACKER USAF IDMT
200 SAINT AUGUSTINE DR
BONAIRE, GA 31005-3782
Phone number: