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Individual

DR. JAMES FAIRD TACKETT

Active
Find providers by NPI
Individual

DR. JAMES FAIRD TACKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-117166
IL
207P00000X
Emergency Medicine Physician
7956
WV
207P00000X
Emergency Medicine Physician
Primary
ME107562
FL
207R00000X
Internal Medicine Physician
MD.30275
AL
207R00000X
Internal Medicine Physician
TL7008
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036117166
IL
01
36117166
BCBS
IL
01
P00376164
RAILROAD MCARE
IL
Enumeration date
08/13/2006
Last updated
04/07/2025
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