Individual
DR. JEREMY W TARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 S 3RD ST, STE B, DANVILLE, KY 40422-2016
(859) 236-8730
(859) 236-4468
Mailing address
333 S 3RD ST, STE B, DANVILLE, KY 40422-2016
(859) 236-8730
(859) 236-4468
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35566
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000077055
ANTHEM
KY
05
—
64010648
—
KY
Enumeration date
05/23/2005
Last updated
05/17/2010
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