ANTHONY T TANNER

HURLEY, MS
NPI1275804270
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MN  R205397-4)
Enumeration Date2012-01-23
Last Update Date2020-04-12
Business Address
ANTHONY T TANNER
7001 HWY 614
HURLEY, MS 39555
Phone number: 228-588-2938
Mailing Address
ANTHONY T TANNER
PO BOX 850
HURLEY, MS 39555-0850
Phone number: 228-588-2938
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