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1750461190
ANTHONY WAYNE THACKER
MILTON, WV
NPI
1750461190
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Professional Name
ANTHONY WAYNE THACKER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 17430)
Enumeration Date
2006-10-17
Last Update Date
2015-07-27
Business Address
-- ANTHONY WAYNE THACKER MD
1155 MAIN ST
MILTON, WV 25541-1217
Phone number: 304-743-8833
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Mailing Address
-- ANTHONY WAYNE THACKER MD
1155 MAIN ST
MILTON, WV 25541-1217
Phone number: 304-743-3383
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