NPI 1023771615

John Thacker, USAFIDMT

Practitioner Independent Duty Medical Technicians Robins Afb, GA

Practice location

Address: 655 7th St Unit 700, Robins Afb, GA 31098-2227
Phone: (606) 923-3485
Mailing address: 200 Saint Augustine Dr, Bonaire, GA 31005-3782

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Georgia →

Registry record

NPI: 1023771615
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2021
Record last updated: 20 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.