Individual
MR. GERALD WAYNE TARR JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.N., B.S., C.C.H.
Contact information
Practice address
620 JOHN PAUL JONES CIR, BUILDING 3, FIRST FLOOR, PORTSMOUTH, VA 23708-2111
(757) 953-5179
(757) 953-7674
Mailing address
5129 CHAYOTE CT, VIRGINIA BEACH, VA 23462-1982
(757) 499-0376
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
0001091692
VA
Other
Enumeration date
02/16/2006
Last updated
07/08/2007
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