Individual
ANDREW MICHAEL TARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4445 S LEE ST STE 310, BUFORD, GA 30518-8808
(770) 219-6520
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
88519
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88519
GEORGIA COMPOSITE MEDICAL BOARD
GA
Enumeration date
04/06/2017
Last updated
10/18/2023
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