SearchVirginia3747A0650X

Tierra Tart

NPI 1225808579 · on the registry since 2024 · sole proprietor

Practice

Address
7516 Brookshire Dr
Prince George, VA 23875
Phone
(910) 964-1308
Clinicians at this address
3

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia