Individual
DR. RICHARD C TARVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 331-1000
Mailing address
380 HOSPITAL DR, STE 410, MACON, GA 31217-8014
(865) 546-8040
(865) 541-2787
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
37410
TN
207L00000X
Anesthesiology Physician
Primary
77215
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505417
—
TN
Enumeration date
07/12/2005
Last updated
04/13/2023
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