Individual
DR. GERALD T. TARIRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
770 PINE STREET, SUITE 560, MACON, GA 31201
(478) 745-9998
(478) 745-9981
Mailing address
770 PINE STREET, SUITE 560, MACON, GA 31201
(478) 745-9998
(478) 745-9981
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
065904
GA
207RP1001X
Pulmonary Disease Physician
19405
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110501C
—
GA
05
—
003110501F
—
GA
05
—
02404007
—
MS
01
—
P01686239
RAILROAD MEDICARE PTAN
GA
Enumeration date
07/24/2006
Last updated
10/07/2016
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