Individual
DR. CHARLES S TARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
307 LINDSAY ST, HIGH POINT, NC 27262-4827
(336) 802-2020
(336) 802-2021
Mailing address
1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17082
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89127MG
—
NC
01
—
P00828557
RR MEDICARE
NC
Enumeration date
04/14/2006
Last updated
07/12/2010
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