LAKEN RENEE TANNER

WAYCROSS, GA
NPI1174229579
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  11382)
Enumeration Date2023-02-07
Last Update Date2023-02-07
Business Address
LAKEN RENEE TANNER MSPAP, PA-C
1900 TEBEAU ST
WAYCROSS, GA 31501-6357
Phone number: 912-283-3030
Mailing Address
LAKEN RENEE TANNER MSPAP, PA-C
99 RUFUS RD
WILLACOOCHEE, GA 31650-5400
Phone number: 912-327-0659
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