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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

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