NPI | 1366595118 |
---|---|
Doing Business As | THACKER, THOMPSON & BERNARD |
Entity Type | Organization |
Authorized Contact | SHERYL VERNON THACKER Manager 404-874-3102 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: GA ga024356) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2012-01-26 |