Individual
JONATHAN D TARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
615 S HANSELL ST, THOMASVILLE, GA 31792-5556
(229) 226-2234
(229) 226-2237
Mailing address
1738 LAKEWOOD DR SE, CAIRO, GA 39828-3500
(229) 327-0221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN258037
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
RN258037
GA
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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