Organization
SUSAN TANNER TANNER HEALTHCARE SERVICES, LLC
Active
Other names
Tanner Healthcare Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN TANNER NP (OWNER)
(302) 399-6509
Entity
Organization
Contact information
Practice address
546 LONG PINE DRIVE, BYTHEWOOD, SC 29016
(302) 399-6509
(803) 708-3743
Mailing address
546 LONG PINE DR, BLYTHEWOOD, SC 29016-7298
(302) 399-6509
(803) 708-3743
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4870
—
SC
Enumeration date
08/03/2020
Last updated
09/06/2023
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