DR. Marshall Glynn Tanner, M.D.

NPI #1326031865 in Douglas, Georgia

Provider Information

NPI Number: 1326031865
Entity Type: Individual
Name: DR. Marshall Glynn Tanner, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Aug 30, 2005
Last Updated: Apr 21, 2016

Practice Location

Address: 2016 OCILLA RD
City: Douglas
State: Georgia
ZIP Code: 31533-2230
Phone: (912) 384-4010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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