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1265212104
MARY CRAWFORD TANNER
CHARLOTTE, NC
NPI
1265212104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 001013531)
Enumeration Date
2023-09-28
Last Update Date
2024-08-20
Business Address
MARY CRAWFORD TANNER PA-C
2630 E 7TH ST STE 200
CHARLOTTE, NC 28204-4319
Phone number: 704-364-6110
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Mailing Address
MARY CRAWFORD TANNER PA-C
2630 E 7TH ST STE 200
CHARLOTTE, NC 28204-4319
Phone number: 704-364-6110
Copy
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