Individual
DR. RAYFORD LEE TACKETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 PROFESSIONAL PARK DR, CLARKSVILLE, AR 72830-4432
(479) 754-4721
(479) 754-7065
Mailing address
23 PROFESSIONAL PARK DR, CLARKSVILLE, AR 72830-4432
(479) 754-4721
(479) 754-7065
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
C8312
AR
Other
Enumeration date
09/21/2005
Last updated
07/08/2007
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