NPI 1003664467

Nichole Tackett, DO

Practitioner Surgery Physician Spartanburg, SC

Practice location

Address: 101 E Wood St, Spartanburg, SC 29303-3040
Phone: (864) 560-6285

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence LL91376 (SC)

Other Surgery providers in South Carolina →

Registry record

NPI: 1003664467
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2024
Record last updated: 10 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.