Tara, Charles S

Tara, Charles S is an individual health care provider with primary practice located at 307 Lindsay St , High Point NC 27262-4827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tara, Charles S can be contacted via phone (336) 802-2020.

Contact Information

Primary practice address
307 Lindsay St High Point NC 27262-4827
Phone: (336) 802-2020
Fax: (336) 802-2021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 17082 North Carolina

Profile Details

NPI number 1700840873
LBN Legal business name Tara, Charles S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 12th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700840873 NPPES
North Carolina MEDICAID 89127MG
North Carolina Other P00828557

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