MITCHEL L. THACKER

CONYERS, GA
NPI1710059498
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: GA  CHIR002342)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
Dr. MITCHEL L. THACKER D.C.
1815 HIGHWAY 138 SE SUITE 600
CONYERS, GA 30013-2079
Phone number: 770-860-8333
Mailing Address
Dr. MITCHEL L. THACKER D.C.
2575 ABBEY RIDGE RD SW
CONYERS, GA 30094-3459
Phone number: 770-860-8333