Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TARA ANN MERRITT, MD
Active Sole ProprietorDR. TARA ANN MERRITT, MD is a Sports Medicine (Pediatrics) healthcare provider located in WATKINSVILLE, Georgia. NPI 1891895777 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Pediatrics) · WATKINSVILLE, GA
Registration Details
- NPI Number
- 1891895777
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2006 (19.85669379666 yrs)
- Last Updated
- Oct 28, 2015
- Licenses
-
58543 (GA)58543 (GA)58543 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1181 LANGFORD DRBLDG 200 SUITE 101WATKINSVILLE, GA, 306777242Browse GA providers · Browse ZIP 30677
- Phone
- 7068508750
- Fax
- 7068508760
- Primary Specialty
-
Sports Medicine (Pediatrics)
2080S0010X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Sports Medicine (Pediatrics)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.