Dr Tara Etter, DO | |
1020 Terrace Dr, Suite 101, Marion, VA 24354-4392 | |
(276) 783-8183 | |
(276) 782-9267 |
Full Name | Dr Tara Etter |
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Gender | Female |
Speciality | Pediatrics |
Location | 1020 Terrace Dr, Marion, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598170383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0102204770 (Virginia) | Primary |
208000000X | Pediatrics | 6907 (Georgia) | Secondary |
Entity Name | Southwest Virginia Community Health Systems Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811967169 PECOS PAC ID: 4880502707 Enrollment ID: O20031106000290 |
Entity Name | Royal Oak Pediatric Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114295110 PECOS PAC ID: 1052678588 Enrollment ID: O20171207003089 |
Mailing Address | Practice Location Address |
---|---|
Dr Tara Etter, DO 1048 Terrace Dr, Marion, VA 24354-4138 Ph: (276) 783-1827 | Dr Tara Etter, DO 1020 Terrace Dr, Suite 101, Marion, VA 24354-4392 Ph: (276) 783-8183 |
Dr. Neal Ray Sanders, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1020 Terrace Dr, Marion, VA 24354 Phone: 276-783-2511 | |
Amy Jo Harden, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1204 N Main St, Marion, VA 24354 Phone: 276-783-2511 Fax: 276-783-2532 | |
Anita Hawks Henley, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 590 Radio Hill Rd, Marion, VA 24354 Phone: 276-783-8183 Fax: 276-378-0218 | |
Dr. George Frederick Jones, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 590 Radio Hill Rd., Marion, VA 24354 Phone: 276-783-8183 Fax: 276-782-9267 | |
Rachel Marie Rogers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1204 N Main St, Marion, VA 24354 Phone: 276-783-2511 Fax: 276-783-2532 | |
Erin Alice Brickley, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1204 N Main St, Marion, VA 24354 Phone: 276-783-2511 |