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1215296462
TIMOTHY PAUL TACKETT
MEMPHIS, TN
NPI
1215296462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: TN 54724)
Enumeration Date
2012-05-09
Last Update Date
2016-08-04
Business Address
-- TIMOTHY PAUL TACKETT M.D.
1265 UNION AVE
MEMPHIS, TN 38104-3415
Phone number: 901-725-5846
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Mailing Address
-- TIMOTHY PAUL TACKETT M.D.
6060 PRIMACY PKWY SUITE 241
MEMPHIS, TN 38119-5745
Phone number: 901-725-5846
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