Search › Virginia › 207RR0500X
Edward Tackey, MD
NPI 1669488110 · on the registry since 2006
Practice
- Address
- 1930 Braeburn Cir
Salem, VA 24153 - Phone
- (540) 772-3707
- Fax
- (540) 772-3739
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 207RR0500X
207RR0500X
- Also registered as
- 174400000X
207RR0500X - Licence states on file
- OR, VA, DE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia