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 Date2021-05-07
Business Address
CHANDOS DEWAYNE TACKETT MD
5170 US RT 60 EAST
HUNTINGTON, WV 25705
Phone number: 304-528-4663
Mailing Address
CHANDOS DEWAYNE TACKETT MD
5170 US RT 60 EAST
HUNTINGTON, WV 25705
Phone number: 304-528-4663
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