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1154076123
CASEY TANNER
ATLANTA, GA
NPI
1154076123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN220734)
Enumeration Date
2022-02-17
Last Update Date
2022-02-17
Business Address
CASEY TANNER PNP
5461 MERIDIAN MARK RD STE 570
ATLANTA, GA 30342-2807
Phone number: 404-785-6895
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Mailing Address
CASEY TANNER PNP
5461 MERIDIAN MARK RD STE 570
ATLANTA, GA 30342-2807
Phone number: 404-785-6895
Copy
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