Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 67006-20 | WI |
N | 207KA0200X | Allergist | ME122884 | FL |
N | 207R00000X | Internist | ME122884 | FL |
N | 111NI0900X | Internist | ME122884 | FL |
NPI | 1053541581 |
---|---|
Provider Name | Dr. Chet Allen Tharpe JR. |
First Address | Daniel Island, SC 29492-8035 |
Second Address | Daniel Island, SC 29492 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2009 |
Last Update Date | 06/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03185790 | (05) | MS |