Individual provider · Type 1 NPI
Wyatt Wade Tarlton
Student in an Organized Health Care Education/Training Program · Preston, MS
NPI number
1679319107
Active
Practice location
10163 Highway 21 N
Preston, MS 39354-8622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1679319107
Wyatt Wade Tarlton's National Provider Identifier is 1679319107, issued on Jul 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Preston, MS. The record was last updated on Jul 3, 2024.