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 at 850-219-2373.
Identifier | Type | State | Issuer |
---|---|---|---|
058464900 | 01 | FL | MEDICAID GROUP |
57188 | 01 | FL | INDIVIDUAL PROVIDER BCBS |
99039 | 01 | FL | GROUP BCBS ID NUMBER |
37822101 | 05 | FL | |
P00625814 | 01 | FL | MEDICARE RAILROAD |
1114920261 | 05 | GA |
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