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Dr. Jeremy W Tarter
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Jeremy W Tarter |
| Gender: | M |
| Provider License Number If Given: | 35566 |
NPI Information:
| NPI: | 1801899844 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 5/23/2005 |
| Last Update Date: | 5/17/2010 |
Provider Business Mailing Address:
| Address: | 333 S 3RD ST STE B Danville, KY 40422 |
| Phone Number: | 8592368730 |
| Fax Number: | 8592364468 |
Provider Business Practice Location Address:
| Address: | 333 S 3RD ST STE B Danville, KY 40422 |
| Phone Number: | 8592368730 |
| Fax Number: | 8592364468 |
Provider Taxonomy:
| Primary: | 207X00000X |
| Secondary (if any): | |
| State: | KY |
