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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ORVILLE C TACKETT

Active Sole Proprietor

ORVILLE C TACKETT is a Community Health Worker healthcare provider located in SOUTH POINT, Ohio. NPI 1407449366 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · SOUTH POINT, OH

Registration Details

NPI Number
1407449366
Provider Type
Individual
Gender
Male
NPI Issued
Feb 11, 2021 (5.5517906308759 yrs)
Last Updated
Feb 11, 2021
Sole Proprietor
Yes

Practice Information

Address
3973 COUNTY ROAD 15
SOUTH POINT, OH, 456807593
Browse OH providers · Browse ZIP 45680
Phone
7404148088
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in SOUTH POINT, OH

Name Credential NPI
DEBORAH WILLIS 1659965200
CHAZ GROBE 1184480873
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.