Individual
TAMMY M EARHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
128 MEDICAL CIR, WINCHESTER, VA 22601-3322
(540) 667-8975
(540) 667-6589
Mailing address
128 MEDICAL CIR, WINCHESTER, VA 22601-3322
(540) 667-8975
(540) 667-6589
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002269
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010273820
—
VA
Enumeration date
07/18/2006
Last updated
12/07/2023
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