ANTHONY WAYNE THACKER

MILTON, WV
NPI1750461190
Professional NameANTHONY WAYNE THACKER
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WV  17430)
Enumeration Date2006-10-17
Last Update Date2015-07-27
Business Address
-- ANTHONY WAYNE THACKER MD
1155 MAIN ST
MILTON, WV 25541-1217
Phone number: 304-743-8833
Mailing Address
-- ANTHONY WAYNE THACKER MD
1155 MAIN ST
MILTON, WV 25541-1217
Phone number: 304-743-3383