Individual
KRYSTAL TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 INDUSTRIAL BLVD, DUBLIN, GA 31021-2981
(478) 274-3865
Mailing address
391 UNION HILL CHURCH RD, WRIGHTSVILLE, GA 31096-4737
(478) 278-4643
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN203622
GA
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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