Individual
CALA BROOKE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 MEMORIAL DR, REIDSVILLE, GA 30453-4641
(912) 644-5300
Mailing address
460 MALL BLVD STE B, SAVANNAH, GA 31406-4801
(912) 644-5346
(912) 644-3369
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN249159
GA
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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