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Individual
DR. STACY TANNER
Active
Individual
DR. STACY TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101268159
VA
207RR0500X
Rheumatology Physician
Primary
67694
TN
Other
Enumeration date
07/11/2012
Last updated
02/12/2026
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