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1902388002
TANNER WAYNE GRANT
MONTGOMERY, AL
NPI
1902388002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL 39104)
Enumeration Date
2018-09-05
Last Update Date
2022-01-18
Business Address
TANNER WAYNE GRANT MD
7449 EASTCHASE PKWY
MONTGOMERY, AL 36117-6846
Phone number: 334-747-4030
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Mailing Address
TANNER WAYNE GRANT MD
2702 CUNNINGHAM CT
OPELIKA, AL 36801-6864
Phone number: 334-403-0222
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