Provider Demographics
NPI:1760596084
Name:TARPLEE, SCOTT LARUE JR (DO)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:LARUE
Last Name:TARPLEE
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2300 PARKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520
Mailing Address - Country:US
Mailing Address - Phone:912-267-6006
Mailing Address - Fax:912-267-9486
Practice Address - Street 1:2300 PARKWOOD DR
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520
Practice Address - Country:US
Practice Address - Phone:912-267-6006
Practice Address - Fax:912-267-9486
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA21057207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000190209AMedicaid
GA000190209AMedicaid