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1891950838
MEGAN JACKSON THACKER FUSCO
HOSCHTON, GA
NPI
1891950838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT9354)
Enumeration Date
2008-07-18
Last Update Date
2015-02-27
Business Address
-- MEGAN JACKSON THACKER FUSCO DPT
5415 THOMPSON MILL RD
HOSCHTON, GA 30548-4132
Phone number: 770-965-3508
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Mailing Address
-- MEGAN JACKSON THACKER FUSCO DPT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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