Whalio Doctors

NPI 1881658664

Christopher C Thacker, MD

Practitioner Urology Physician Cleveland, TN

Practice location

Address
400 Berywood Trl NW Suite B, Cleveland, TN 37312-5287
Phone
(423) 472-3201
Fax
(423) 476-4949

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD34911 (TN)

Registry record

NPI
1881658664
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Apr 2006
Record last updated
23 Oct 2007

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.