Individual
MR. WILLIAM JEFFREY TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2336 DAWSON RD, SUITE 1100, ALBANY, GA 31707-2442
(229) 312-8733
Mailing address
1719 PINEKNOLL LN, ALBANY, GA 31707-3770
(229) 438-5532
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
543
GA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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