STEVEN MICHAEL TACKETT

COLUMBIA, SC
NPI1750954418
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: SC  F25200)
Enumeration Date2021-07-21
Last Update Date2024-12-03
Business Address
STEVEN MICHAEL TACKETT APRN
1 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA, SC 29203-6831
Phone number: 803-434-7910
Mailing Address
STEVEN MICHAEL TACKETT APRN
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169-4810
Phone number: 803-791-2000