THACKER DERMATOLOGY LLC

VALDOSTA, GA
NPI1326347238
Entity TypeOrganization
Authorized ContactBETSY PERRY THACKER
Owner
229-469-4383
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2011-03-17
Last Update Date2023-10-26
Business Address
THACKER DERMATOLOGY LLC
4233 CAMELOT CROSSING
VALDOSTA, GA 31602
Phone number: 229-469-4383
Mailing Address
THACKER DERMATOLOGY LLC
4233 CAMELOT CROSSING
VALDOSTA, GA 31602
Phone number: 229-469-4383