Individual
MRS. DOMINIQUE TARRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1280A MAIN ST, ALTAVISTA, VA 24517-1465
(434) 309-1165
Mailing address
1501 LAKESIDE DR, LYNCHBURG, VA 24501-3113
(443) 544-8876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011518
VA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
01/14/2026
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