Richard Kevin Tanner

NPI #1427858547 in Nicholls, Georgia

Provider Information

NPI Number: 1427858547
Entity Type: Individual
Name: Richard Kevin Tanner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 17, 2025
Last Updated: Mar 17, 2025

Practice Location

Address: 202 S JOHNSON ST
City: Nicholls
State: Georgia
ZIP Code: 31554-5040
Phone: (912) 493-0312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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