Individual
TARA L. STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1215 LEE ST, 2ND FLOOR, CHARLOTTESVILLE, VA 22908-0001
(434) 243-4520
(434) 982-1998
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005225
VA
363AS0400X
Surgical Physician Assistant
0110005225
VA
Other
Enumeration date
02/18/2016
Last updated
03/13/2025
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