Individual
CHAD DONALD TARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 SPARTA RD, SANDERSVILLE, GA 31082-1860
(478) 240-2000
(478) 240-2377
Mailing address
610 SPARTA RD, SANDERSVILLE, GA 31082-1860
(478) 240-2000
(478) 240-2377
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01055272A
IN
207P00000X
Emergency Medicine Physician
44183
KY
207P00000X
Emergency Medicine Physician
Primary
49710
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10064517
AMERIGROUP
GA
01
—
170444001A
PEACH STATE HEALTH PLAN
GA
05
—
170444001A
—
GA
05
—
7100173340
—
KY
01
—
967532
BLUE CROSS BLUE SHIELD
GA
05
—
G49710
—
SC
01
—
N288744
WELLCARE
GA
01
—
P00928404
MEDICARE RAILROAD
KY
Enumeration date
05/17/2006
Last updated
09/23/2024
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