Merritt, Tara Ann

Merritt, Tara Ann is an sole proprietor health care provider with primary practice located at 1181 Langford Dr Bldg 200 Suite 101, Watkinsville GA 30677-7242. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Merritt, Tara Ann can be contacted via phone (706) 850-8750.

Contact Information

Primary practice address
1181 Langford Dr Bldg 200 Suite 101 Watkinsville GA 30677-7242
Phone: (706) 850-8750
Fax: (706) 850-8760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 58543 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 58543 Georgia
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 58543 Georgia

Profile Details

NPI number 1891895777
LBN Legal business name Merritt, Tara Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2006
Last updated Oct 28th, 2015 - about 9 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 1891895777 NPPES
Georgia MEDICAID 489449582A

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