Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GENE RUSSELL TACKETT JR., CCC-SLP
Active Sole ProprietorMR. GENE RUSSELL TACKETT JR., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in DANIELSVILLE, Georgia. NPI 1396052296 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · DANIELSVILLE, GA
Registration Details
- NPI Number
- 1396052296
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2010 (15.93105701608 yrs)
- Last Updated
- Sep 13, 2010
- License
-
SLP007430 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1111 HUNT RDDANIELSVILLE, GA, 306335543Browse GA providers · Browse ZIP 30633
- Phone
- 7064248191
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.