Richard Randall Thacker is a Internal Medicine Physician based in Tallahassee, FL. Richard Randall Thacker practices in Tallahassee, FL and has the professional credentials of DO. The NPI Number for Richard Randall Thacker is 1114920261 and holds a License No. MEOS6976 (Florida).
The current practice location address for Richard Randall Thacker is 2770 Capital Medical Blvd, Tallahassee, FL and can be reached out via phone at 850-878-8235 and via fax at850-219-2373. You can also correspond with Richard Randall Thacker through the mailing address at 2770 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL - 32308-8417 (mailing address contact number: 850-878-8235).
Identifier | Type | State | Issuer |
---|---|---|---|
058464900 | 01 | FL | MEDICAID GROUP |
1114920261 | 05 | GA | |
57188 | 01 | FL | INDIVIDUAL PROVIDER BCBS |
P00625814 | 01 | FL | MEDICARE RAILROAD |
37822101 | 05 | FL | |
99039 | 01 | FL | GROUP BCBS ID NUMBER |