Organization Name: | DONALD F TARR MD |
NPI Number: | 1326467259 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RENEE GENTRY (OFFICE MANAGER) |
Mailing Address: | 4200 Cold Springs Rd Mountain City |
State: | TN US |
Postal Code: | 376838041 |
Phone Number: | 4237277743 |
Fax Number: | 4237275509 |
NPI Enumeration Date: | 04/08/2014 |
NPI Last Update Date: | 04/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | DO0000000073 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |