Provider Demographics
NPI:1801000674
Name:DR. SCOTT L. TARPLEE, D.O.
Entity Type:Organization
Organization Name:DR. SCOTT L. TARPLEE, D.O.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:L
Authorized Official - Last Name:TARPLEE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:912-267-6006
Mailing Address - Street 1:2300 PARKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4719
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:31520-4719
Practice Address - Country:US
Practice Address - Phone:912-267-6006
Practice Address - Fax:912-267-9486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP6021Medicare ID - Type Unspecified
GAE73161Medicare UPIN