Taylor Michelle Tanner, PA-C

NPI #1518566025 in Gray, Louisiana

Provider Information

NPI Number: 1518566025
Entity Type: Individual
Name: Taylor Michelle Tanner, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 26, 2020
Last Updated: Oct 26, 2020

Practice Location

Address: 128 NEUROSCIENCE CT
City: Gray
State: Louisiana
ZIP Code: 70359-5209
Phone: (985) 917-3007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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