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Individual

DR. TANYA MAIERS DANNEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2541
Mailing address
29 LEGENDS WAY, EVANS, GA 30809-5136
(404) 788-6369

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
003556
GA

Other

Enumeration date
06/23/2009
Last updated
06/23/2009
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