Healthcare Provider Details

I. General information

NPI: 1225732860
Provider Name (Legal Business Name): MARCIA KAY THACHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 MEDICAL PARK DR
MARSHALL NC
28753-6807
US

IV. Provider business mailing address

PO BOX 69
MARSHALL NC
28753-0069
US

V. Phone/Fax

Practice location:
  • Phone: 828-649-3500
  • Fax: 828-649-1032
Mailing address:
  • Phone: 828-649-9566
  • Fax: 828-649-3786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2025-00700
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: