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MICHAEL THACKER, FNP-C

FNP-C

Family Nurse Practitioner

NPI: 1205399508Individual

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

00000193250(TN)00241777354(VA)

Contact & Hours

Address
100 CLINCHFIELD ST
KINGSPORT, TN 37660

Quick Facts

NPI
1205399508
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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