Search › Tennessee › 208600000X
Derek Thacker, M.D
NPI 1538570544 · on the registry since 2014
Practice
- Address
- 395 Hospital Blvd
Jackson, TN 38305 - Phone
- (731) 664-7395
- Organisation at this address
- Jackson Surgical Associates. Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Additional practice sites
- 2500 N State St, Jackson, MS
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 390200000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee