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1144845363
NEIL THACKAR
AUGUSTA, GA
NPI
1144845363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 11860)
Enumeration Date
2020-06-12
Last Update Date
2020-06-12
Business Address
NEIL THACKAR DO
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2273
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Mailing Address
NEIL THACKAR DO
1120 15TH ST # BI5070
AUGUSTA, GA 30912-0006
Phone number: 706-721-2423
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