Individual
RICHARD TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
144 MEDICAL CENTER DR STE C, COPPERHILL, TN 37317-5006
(423) 548-1520
(423) 548-1521
Mailing address
144 MEDICAL CENTER DR STE C, PO BOX 1173, COPPERHILL, TN 37317-5006
(423) 548-1520
(423) 548-1521
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
074384
GA
207R00000X
Internal Medicine Physician
UO2391
FL
Other
Enumeration date
01/11/2011
Last updated
06/01/2017
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