Individual provider · Type 1 NPI
Susan Denise Tackett, CPED
Contractor · Monroe, GA
Practice location
696 Breedlove Dr, Suite B5
Monroe, GA 30655-2052
Fax (770) 207-7196
Mailing address
3551 Apalachee Rdg
Monroe, GA 30656-8535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor Primary | 171W00000X | None listed |
Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…
Other contractor providers in Monroe
About NPI 1063505352
Susan Denise Tackett, CPED's National Provider Identifier is 1063505352, issued on Oct 1, 2006. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Monroe, GA. The record was last updated on Jul 8, 2007.