Thacker Dermatology Llc

LBN: Thacker Dermatology Llc
Thacker Dermatology Llc is an health care organization with primary practice located at 4233 Camelot Crossing , Valdosta GA 31602. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Thacker Dermatology Llc can be contacted via phone (229) 469-4383, or through Perry Thacker, Betsy via phone (229) 469-4383.

Contact Information

Primary practice address
4233 Camelot Crossing Valdosta GA 31602
Phone: (229) 469-4383
Fax: (229) 469-4584
Website:
Map and Directions
Authorized official contact:
Name: Perry Thacker, Betsy
Phone: (229) 469-4383

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1326347238
LBN Legal business name Thacker Dermatology Llc
DBA Doing business as
Authorized official Perry Thacker, Betsy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2011
Last updated Oct 26th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers