Individual
DR. TAYLOR GRACE TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOCTOR OF OPTOMETRY
Contact information
Practice address
14378 HIGHWAY 43, RUSSELLVILLE, AL 35653-2568
(256) 332-1355
Mailing address
7087 HIGHWAY 524, RUSSELLVILLE, AL 35653-6552
(256) 460-5793
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-F21
AL
Other
Enumeration date
05/22/2023
Last updated
06/07/2023
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