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Individual
MRS. VIRGINIA ALLISON TANNER
Active
Individual
MRS. VIRGINIA ALLISON TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN217872
GA
364SF0001X
Family Health Clinical Nurse Specialist
RN217872
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN217872
LICENSE NUMBER
GA
Enumeration date
05/25/2016
Last updated
06/05/2020
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