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Individual

DR. TANNER JACKSON PARRENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
227 BURLEY AVE, HOPKINSVILLE, KY 42240-8725
(270) 887-5640
(270) 886-5371
Mailing address
102 W 18TH ST, HOPKINSVILLE, KY 42240-1961
(270) 707-2100
(270) 707-2103

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
47976
KY

Other

Enumeration date
05/16/2011
Last updated
06/10/2020
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