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Individual

MR. HOWARD SCOTT TACKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
1412 ELBA HWY, TROY, AL 36079-6020
(334) 566-8822
(334) 670-2081
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
422
AL
363AM0700X
Medical Physician Assistant
PA-422
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125750
AL
Enumeration date
07/09/2006
Last updated
08/25/2025
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