Individual
NOAH EDWARD TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
627 WYNLAKE CV, ALABASTER, AL 35007-7647
(205) 267-9156
Mailing address
627 WYNLAKE CV, ALABASTER, AL 35007-7647
(205) 267-9156
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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