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Individual

JAMES WESTLEY TANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1722 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168-8339
(386) 428-3241
(386) 427-8440
Mailing address
1722 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168-8339
(386) 428-3241
(386) 427-8440

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
018256
GA
208D00000X
General Practice Physician
Primary
95760
FL

Other

Enumeration date
10/14/2005
Last updated
03/23/2021
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