TERESA YVONNE THACKER

UNIVERSITY PHYSICIANS AND SURGEONS, INC

Dr TERESA YVONNE THACKER is a female medical professional, specializing in Family Medicine. She graduated in 1990 from Marshall University School Medicine.

Contact

UNIVERSITY PHYSICIANS AND SURGEONS, INC

300 CORPORATE CTR DR
SCOTT DEPOT
WV
255609026

Tel: 3046916800

TERESA YVONNE THACKER Information

Npi 1891875274
Pac Id 4789621103
Professional Enrollment Id I20110203000307
Last Name THACKER
First Name TERESA
Middle Name YVONNE
Suffix
Gender F
Credential
Medical School Name MARSHALL UNIVERSITY SCHOOL MEDICINE
Graduation Year 1990
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name UNIVERSITY PHYSICIANS AND SURGEONS, INC
Group Practice Pac Id 2961315734
Number Of Group Practice Members 285
Line 1 Street Address 300 CORPORATE CTR DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SCOTT DEPOT
State WV
Zip Code 255609026
Phone Number 3046916800
Hospital Affiliation Ccn 1 510055
Hospital Affiliation Lbn 1 CABELL HUNTINGTON HOSPITAL INC
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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