Individual
STEVEN MICHAEL TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR STE 300, COLUMBIA, SC 29203-6831
(803) 434-7910
(803) 933-3022
Mailing address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F25200
SC
Other
Enumeration date
07/21/2021
Last updated
12/03/2024
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