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Individual

DEAN TANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 446-9253
Mailing address
PO BOX 32861, CHARLOTTE, NC 28232-2861
(704) 446-9253

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
210297
UT

Other

Enumeration date
04/24/2015
Last updated
12/20/2021
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