Search › North Carolina › 101YM0800X
John Thacker
NPI 1457695298 · on the registry since 2012
Practice
- Address
- 741 Highland Ave
Winston Salem, NC 27101 - Phone
- (336) 703-3751
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101Y00000X
101YA0400X
225C00000X - Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina