TANNER C WATERMAN

JACKSONVILLE BEACH, FL
NPI1871233932
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9118928)
Enumeration Date2022-03-29
Last Update Date2024-07-01
Business Address
TANNER C WATERMAN PA-C
1577 ROBERTS DR STE 225
JACKSONVILLE BEACH, FL 32250-3265
Phone number: 904-241-1204
Mailing Address
TANNER C WATERMAN PA-C
PO BOX 117345
ATLANTA, GA 30368-7345
Phone number: 904-346-3465
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