Samuel Tackett
Samuel Tackett is a Community Health Worker in War, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
133 Susanna RdWar, WV 24892-9001
Phone: (304) 875-2452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1578329595 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 27, 2024 |
| Last updated in NPPES | February 27, 2024 |
| Certification date | February 27, 2024 |
| Mailing address | 133 Susanna Rd, War, WV 24892-9001 |
Other providers in War
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Jennifer Rathbone
17688 Rocket Boys Dr, War, WV 24892-7034 · (304) 988-4200