DWAYNE L TANNER

ALBANY, GA
NPI1891328712
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2020-02-19
Last Update Date2020-02-19
Business Address
DWAYNE L TANNER
1120 W BROAD AVE STE B2
ALBANY, GA 31707-4385
Phone number: 229-288-7649
Mailing Address
DWAYNE L TANNER
1405 GAIL AVE
ALBANY, GA 31707-2610
Phone number: 229-288-7649
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