TRICIA W THACKSTON

PIEDMONT PROFESSIONAL SERVICES, LLC

Dr TRICIA W THACKSTON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012.

Contact

PIEDMONT PROFESSIONAL SERVICES, LLC

1762 MARS HILL RD NW
ACWORTH
GA
301018091

Tel: 6787321506

TRICIA W THACKSTON Information

Npi 1801136593
Pac Id 9638317258
Professional Enrollment Id I20130521000229
Last Name THACKSTON
First Name TRICIA
Middle Name W
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PIEDMONT PROFESSIONAL SERVICES, LLC
Group Practice Pac Id 8921176231
Number Of Group Practice Members 77
Line 1 Street Address 1762 MARS HILL RD NW
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ACWORTH
State GA
Zip Code 301018091
Phone Number 6787321506
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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