person
Charles Tyler Thacker, DO
Student in an Organized Health Care Education/Training Program in Chattanooga, Tennessee
NPI 1902501778

Charles Tyler Thacker is a Student in an Organized Health Care Education/Training Program based in Chattanooga, TN. Charles Tyler Thacker practices in Chattanooga, TN and has the professional credentials of DO. The NPI Number for Charles Tyler Thacker is 1902501778 and holds a License No. (Tennessee).

The current practice location address for Charles Tyler Thacker is 975 E 3Rd St, Chattanooga, TN and can be reached out via phone at 423-778-7628.

Location: 975 E 3Rd St, Chattanooga, TN, 37403-2173
person
Provider Profile Details
NPI Number
1902501778
Provider Name
Charles Tyler Thacker
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
975 E 3Rd St, Chattanooga, TN, 37403-2173
Phone Number
423-778-7628
Fax Number
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
975 E 3Rd St
City
State
Zip
37403-2173
Phone Number
423-778-7628
Fax Number
person
Provider Business Mailing Address Details
Address
975 E 3Rd St
City
State
Zip
37403-2173
Phone Number
423-778-7628
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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