Individual
DR. TARA M HUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD42103
TN
2080A0000X
Pediatric Adolescent Medicine Physician
200300621
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200300621
MEDICAL LICENSE
NC
Enumeration date
10/26/2005
Last updated
03/18/2022
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