Individual
TANNER WARHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
38 IRBY DR, RUSSELLVILLE, AL 35654-7557
(256) 436-5182
Mailing address
38 IRBY DR, RUSSELLVILLE, AL 35654-7557
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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