CHANDOS DEWAYNE TACKETT

HUNTINGTON, WV
NPI1912933151
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WV  18209)
Enumeration Date2006-06-22
Last Update Date2025-04-23
Business Address
CHANDOS DEWAYNE TACKETT MD
3075 US ROUTE 60 STE A110
HUNTINGTON, WV 25705-8859
Phone number: 304-528-4600
Mailing Address
CHANDOS DEWAYNE TACKETT MD
3075 US ROUTE 60
HUNTINGTON, WV 25705-8859
Phone number: 304-528-4600