Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 192545 | NC |
NPI | 1528303336 |
---|---|
Provider Name | Dr. Christopher Michael Tarney |
First Address | Spring Lake, NC 28390-7075 |
Second Address | Tacoma, WA 98431-7075 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2012 |
Last Update Date | 10/11/2021 |