Individual
DR. MARY TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 CLIFTON RD NE, ATLANTA, GA 30329
(404) 639-3311
Mailing address
259 LAKE RUBY DR, SUWANEE, GA 30024-2399
(816) 509-8082
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
2011009937
MO
Other
Enumeration date
06/24/2009
Last updated
05/27/2018
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