Individual
MR. CHARLES JOSEPH THARP IV
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
APRN-BC
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 728-4703
Mailing address
1429 MILL ROSE TRCE, LAWRENCEVILLE, GA 30044-6085
(770) 985-4442
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN087692 NP
GA
Other
Enumeration date
06/25/2006
Last updated
07/08/2007
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