Individual
JOHNSON DEAN TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 W JACKSON ST STE B, RIDGELAND, MS 39157-2402
(601) 354-4327
(601) 360-0822
Mailing address
113 W JACKSON ST STE B, RIDGELAND, MS 39157-2402
(601) 354-4327
(601) 360-0822
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15195
MS
2085R0202X
Diagnostic Radiology Physician
Primary
15195
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124325
—
MS
Enumeration date
10/10/2006
Last updated
10/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us