Individual
OSCAR KENNY TANNER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
101 FAIRVIEW PARK DR, DUBLIN, GA 31021-2501
(478) 272-7494
(478) 272-2616
Mailing address
101 FAIRVIEW PARK DR, DUBLIN, GA 31021-2501
(478) 272-7494
(478) 272-2616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002262
GA
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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