Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 116947 | NC |
Y | 207W00000X | Ophthalmologist | 2007-00722 | NC |
NPI | 1033242581 |
---|---|
Provider Name | Dr. Tarra Wright Millender |
First Address | Southern Pines, NC 28387-2927 |
Second Address | Southern Pines, NC 28387-2927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 22/01/2021 |