Individual provider · Type 1 NPI
Charlie Andrew Tacito
Land Ambulance · Memphis, TN
NPI number
1215086731
Active
Practice location
1684 Poplar Ave
Memphis, TN 38104
Fax (901) 278-0144
Mailing address
PO Box 77
Marion, AR 72364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Land Ambulance Primary | 3416L0300X | EMS0000010018 (TN) |
Land Ambulance: Definition to come...
2 other providers at this address
About NPI 1215086731
Charlie Andrew Tacito's National Provider Identifier is 1215086731, issued on Jan 10, 2007. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Memphis, TN. The record was last updated on Apr 2, 2008.