| Tackett Medical, Pllc | |
|
5640 Marblehead Dr Colfax NC 27235-9801 | |
| (501) 676-1410 | |
| Not Available |
| Full Name | Tackett Medical, Pllc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 5640 Marblehead Dr, Colfax, North Carolina |
| Authorized Official Name and Position | Jonathan Kenton Tackett (CEO) |
| Authorized Official Contact | 5016761410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tackett Medical, Pllc 5640 Marblehead Dr Colfax NC 27235-9801 Ph: () - | Tackett Medical, Pllc 5640 Marblehead Dr Colfax NC 27235-9801 Ph: (501) 676-1410 |
| NPI Number | 1245041243 |
|---|---|
| Provider Enumeration Date | 01/17/2025 |
| Last Update Date | 01/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245041243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |