Individual
ROBERT MARSHALL THARP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6351 INTERSTATE 55 NORTH, STE. 115-B, JACKSON, MS 39213
(601) 991-9723
(601) 991-9745
Mailing address
6351 INTERSTATE 55 NORTH, STE. 115-B, JACKSON, MS 39213
(601) 991-9723
(601) 991-9745
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
619
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880105
—
MS
Enumeration date
11/17/2006
Last updated
07/08/2007
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