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Individual

MADELYN A TANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
7212 GA HIGHWAY 64 E, AXSON, GA 31624-2005
(912) 850-9968
Mailing address
7212 GA HIGHWAY 64 E, AXSON, GA 31624-2005
(912) 850-9968

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-NP312186
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F08250036
CERTIFICATION
GA
Enumeration date
10/31/2025
Last updated
12/26/2025
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