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Individual
TANNER GREGORY WRIGHT
Active
Individual
TANNER GREGORY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME140677
FL
208M00000X
Hospitalist Physician
Primary
ME140677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103511700
—
FL
01
—
KR8I4
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/18/2016
Last updated
08/24/2021
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