Dr. EDWARD O TACKEY MD
Individual Provider (NPI-1)
Active
Internal Medicine, Rheumatology
Provider Information
- NPI Number
1669488110- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1930 BRAEBURN CIR, SALEM, VA, 241537388
- Phone
- (540) 772-3707
- Fax
- (540) 772-3739
Specialties & Taxonomies
Specialist
License: OR #MD24622
Internal Medicine, Rheumatology
License: VA #0101243144
Internal Medicine, Rheumatology
Primary License: DE #C1-0023857