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Chandos Dewayne Tackett, MD
Family Medicine Physician in Huntington, West Virginia
NPI 1912933151

Chandos Dewayne Tackett is a Family Medicine Physician based in Huntington, WV. Chandos Dewayne Tackett practices in Huntington, WV and has the professional credentials of MD. The NPI Number for Chandos Dewayne Tackett is 1912933151 and holds a License No. 18209 (West Virginia).

The current practice location address for Chandos Dewayne Tackett is 5170 Us Rt 60 East, Huntington, WV and can be reached out via phone at 304-528-4663 and via fax at 304-528-4624.

Location: 5170 Us Rt 60 East, Huntington, WV, 25705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912933151
Provider Name
Chandos Dewayne Tackett
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5170 Us Rt 60 East, Huntington, WV, 25705
Phone Number
304-528-4663
Fax Number
304-528-4624
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0054285000 05 WV
080068402 01 RAILROAD MEDICARE
0141822 05 OH
P00472743 01 OH RAILROAD MEDICARE OHIO
institution
Provider Business Practice Location Address Details
Address
5170 Us Rt 60 East
City
Huntington
State
West Virginia
Zip
25705
Phone Number
304-528-4663
Fax Number
304-528-4624
person
Provider Business Mailing Address Details
Address
5170 Us Rt 60 East
City
Huntington
State
West Virginia
Zip
25705
Phone Number
304-528-4663
Fax Number
304-528-4624
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
18209 (West Virginia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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