Abigail Tackett, PA-C

NPI #1043015571 in Dayton, Ohio

Provider Information

NPI Number: 1043015571
Entity Type: Individual
Name: Abigail Tackett, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 18, 2025
Last Updated: Feb 18, 2025

Practice Location

Address: 1 WYOMING ST
City: Dayton
State: Ohio
ZIP Code: 45409-2722
Phone: (937) 208-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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