Individual
STEVEN MICHAEL TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 350, COLUMBIA, SC 29203-6896
(803) 434-1663
(803) 434-3894
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33554
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335541
—
SC
Enumeration date
06/09/2011
Last updated
06/14/2023
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