Individual
EMILY MARTIN TARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF EMERGENCY MEDICINE, JACKSON, MS 39216-4500
(601) 984-5582
Mailing address
2500 N STATE ST, DEPARTMENT OF EMERGENCY MEDICINE, JACKSON, MS 39216-4500
(601) 984-5582
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20075
MS
207P00000X
Emergency Medicine Physician
ME103334
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001590600
—
FL
Enumeration date
05/30/2007
Last updated
03/23/2018
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