Individual
MADISON PAIGE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
341 CHAMPION DR, DUBLIN, GA 31021-0226
(478) 278-2415
Mailing address
341 CHAMPION DR, DUBLIN, GA 31021-0226
(478) 278-2415
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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