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Organization
SUSAN TANNER TANNER HEALTHCARE SERVICES, LLC
Active
Organization
SUSAN TANNER TANNER HEALTHCARE SERVICES, LLC
Active
Other names
Tanner Healthcare Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN TANNER NP (OWNER)
(302) 399-6509
Entity
Organization
Contact information
Practice address
546 LONG PINE DRIVE, BYTHEWOOD, SC 29016
(302) 399-6509
(803) 708-3743
Mailing address
546 LONG PINE DR, BLYTHEWOOD, SC 29016-7298
(302) 399-6509
(803) 708-3743
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4870
—
SC
Enumeration date
08/03/2020
Last updated
09/06/2023
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