NPI 1881658664
Christopher C Thacker, MD
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
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.