Tarwater, Samuel Joseph

Tarwater, Samuel Joseph is an individual health care provider with primary practice located at 480 Honeysuckle Rd , Dothan AL 36305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Tarwater, Samuel Joseph can be contacted via phone (334) 836-1212.

Contact Information

Primary practice address
480 Honeysuckle Rd Dothan AL 36305
Phone: (334) 836-1212
Fax: (334) 836-1888
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 17055 Alabama

Profile Details

NPI number 1225080906
LBN Legal business name Tarwater, Samuel Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1225080906 NPPES
Georgia MEDICAID 00539756A
Georgia Other 1200805
Georgia Other P00230601

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