Dr. Michael Ernest Thacker
Podiatrist Foot Surgery Foot & Ankle Surgery
1821 Clemson Rd Ste 2
Columbia
, South Carolina 29229-7832
Dr. Michael Ernest Thacker
Podiatrist Foot Surgery Foot & Ankle Surgery
1821 Clemson Rd Ste 2
Columbia
, South Carolina 29229-7832
(803) 788-6544
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About
Features
Specialties
- Podiatrist
- Foot & Ankle Surgery
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Michael Ernest Thacker
- 1821 Clemson Rd Ste 2
- Columbia, SC
- Zip : 29229-7832
- Fax : (803) 788-6544
- Phone : (803) 788-6400
Second Address
- Dr. Michael Ernest Thacker
- 1821 Clemson Rd Ste 2
- Columbia, SC
- Zip : 29229-7832
- Fax : (803) 788-6544
- Phone : (803) 788-6400
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 627 | SC |
| N | 222Z00000X | Podiatrist | 627 | SC |
| Y | 213ES0103X | Foot & Ankle Surgery | 627 | SC |
| N | 213ES0131X | Foot Surgery | 627 | SC |
National Provider Identifier
| NPI | 1336448125 |
|---|---|
| Provider Name | Dr. Michael Ernest Thacker |
| First Address | Columbia, SC 29229-7832 |
| Second Address | Columbia, SC 29229-7832 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/03/2011 |
| Last Update Date | 04/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| PD6279 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.