Mr Gene Russell Tackett Jr, CCC-SLP - Speech-Language Pathologist in Danielsville, GA

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Mr Gene Russell Tackett Jr, CCC-SLP is a Speech-language Pathologist based in Danielsville, Georgia. Mr Gene Russell Tackett Jr is licensed to practice in Georgia (license number SLP007430) and his current practice location is 1111 Hunt Rd, Danielsville, Georgia. He can be reached at his office (for appointments etc.) via phone at (706) 424-8191.

NPI number for Mr Gene Russell Tackett Jr is 1396052296 and his current mailing address is 1111 Hunt Rd, Danielsville, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396052296.

Contact Information

Mr Gene Russell Tackett Jr, CCC-SLP
1111 Hunt Rd,
Danielsville, GA 30633-5543
(706) 424-8191
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Gene Russell Tackett Jr
GenderMale
SpecialitySpeech-language Pathologist
Location1111 Hunt Rd, Danielsville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396052296
  • Provider Enumeration Date: 09/13/2010
  • Last Update Date: 09/13/2010

Medical Identifiers

Medical identifiers for Mr Gene Russell Tackett Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396052296NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SLP007430 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gene Russell Tackett Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Gene Russell Tackett Jr, CCC-SLP
1111 Hunt Rd,
Danielsville, GA 30633-5543

Ph: (706) 424-8191		Mr Gene Russell Tackett Jr, CCC-SLP
1111 Hunt Rd,
Danielsville, GA 30633-5543

Ph: (706) 424-8191

Reviews and Comments


Speech-Language Pathologist in Danielsville, GA


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