CHARLES TACKETT, PA
Physician Assistant
Active
Individual
NPI: 1538275110
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 5601001124 (MI) |
Frequently Asked Questions
NPI 1538275110 is the National Provider Identifier for CHARLES TACKETT, PA, a Physician Assistant provider located in Battle Creek, MI. This NPI was enumerated on August 23, 2006.
CHARLES TACKETT, PA practices at 5500 ARMSTRONG RD, Battle Creek, MI 49015.
Quick Facts
- NPI
- 1538275110
- Type
- Individual
- Enumerated
- Aug 23, 2006
- Last Updated
- Jul 8, 2007
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