OrganizationActive
Tackett Medical, PLLC
NPI 1245041243 · Geriatric Medicine (Family Medicine) Physician · Colfax, NC
Provider details
- NPI number
- 1245041243
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonathan Tackett, Ceo(501) 676-1410
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5640 Marblehead Dr
Colfax, NC 27235-9801
Phone: (501) 676-1410
Approximate (ZIP-level) locationGet directions
Mailing address
5640 Marblehead Dr
Colfax, NC 27235-9801
Registry dates
- Enumerated
- 2025-01-17
- Last updated
- 2025-01-17
- Certified
- 2025-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.