Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 08438 | MS |
Y | 208600000X | Surgeon | 08438 | MS |
NPI | 1023081478 |
---|---|
Provider Name | Stephen W Tartt |
First Address | Meridian, MS 39301-4040 |
Second Address | Meridian, MS 39301-4041 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 30/07/2020 |