Individual
CHANTEL NICOLE GARCIA TARBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4350 MAIN ST STE 107, HARRISBURG, NC 28075-7439
(305) 282-0561
Mailing address
4350 MAIN ST STE 107, HARRISBURG, NC 28075-7439
(704) 322-3600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG002650
PA
152WC0802X
Corneal and Contact Management Optometrist
Primary
2409
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2409
NC LICENSE
NC
01
—
OEG002650
LICENSE
PA
Enumeration date
07/11/2012
Last updated
03/17/2018
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