MRS. Diana June Tanner

NPI #1841868676 in Douglas, Georgia

Provider Information

NPI Number
1841868676
Entity Type
Individual
Name
MRS. Diana June Tanner
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jun 17, 2021
Last Updated
Jun 17, 2021

Practice Location

Address
2007 OCILLA RD
State
Georgia
ZIP Code
31533-2229
Phone
(912) 384-0162

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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