Tarbutton, Jennifer Nunn
Tarbutton, Jennifer Nunn is an individual health care provider with primary practice located at 610 Ferncrest Dr Ste A , Sandersville GA 31082-1863. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tarbutton, Jennifer Nunn can be contacted via phone (478) 552-0006.Contact Information
Primary practice address
610 Ferncrest Dr Ste A
Sandersville GA 31082-1863
Phone: (478) 552-0006
Fax: (478) 552-0010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 053306 | Georgia |
Profile Details
| NPI number | 1487724357 |
|---|---|
| LBN Legal business name | Tarbutton, Jennifer Nunn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jan 16th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487724357 | NPPES |
| Georgia | MEDICAID | 544940168C |
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