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
Fax: (478) 552-0010
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487724357 NPPES
Georgia MEDICAID 544940168C

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