Individual
CHERYL THARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
169 PINE LEVEL RD, AMERICUS, GA 31719-9221
(229) 938-3714
Mailing address
169 PINE LEVEL RD, AMERICUS, GA 31719-9221
(229) 938-3714
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
186330
GA
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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