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1851829683
GEORGIA ELIZABETH TANNER
WINSTON SALEM, NC
NPI
1851829683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-07363)
Enumeration Date
2017-05-24
Last Update Date
2023-09-13
Business Address
GEORGIA ELIZABETH TANNER PA-C
180 KIMEL PARK DR
WINSTON SALEM, NC 27103-6976
Phone number: 336-765-2523
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Mailing Address
GEORGIA ELIZABETH TANNER PA-C
4601 PARK RD STE 300
CHARLOTTE, NC 28209-2290
Phone number: 704-323-2000
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