Individual
TANJA HARTLIEB NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
149 MORGANTON CT, CAMERON, NC 28326-9061
(910) 849-6162
Mailing address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4321
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2021-02394
NC
Other
Enumeration date
05/17/2018
Last updated
08/24/2021
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