Individual
ORVILLE C TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3973 COUNTY ROAD 15, SOUTH POINT, OH 45680-7593
(740) 414-8088
Mailing address
3973 COUNTY ROAD 15, SOUTH POINT, OH 45680-7593
(740) 414-8088
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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