Most Relevant Information
Provider Data
| NPI Number: | 1003664467 |
| Provider Name: | NICHOLE TACKETT DO |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | LL91376 |
Most Important Dates
| Enumeration Date: | 05/10/2024 |
| Last Updated: | 05/10/2024 |
Provider Practice Location
101 E WOOD ST
SPARTANBURG
SC
293033040
Practice Location Phone/Fax
| Phone: | 8645606285 |
| Fax: |
Provider Mailing Location
101 E WOOD ST
SPARTANBURG
SC
293033040
Provider Mailing Phone/Fax
| Phone: | 8645606285 |
| Fax: |
Suggested EMR
Surgeon EMR