Individual
ANNA BUTTERS TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
595 HURRICANE SHOALS ROAD NW, SUITE 300, LAWRENCEVILLE, GA 30046
(770) 995-0823
(770) 995-7018
Mailing address
595 HURRICANE SHOALS ROAD NW, SUITE 300, LAWRENCEVILLE, GA 30046
(770) 995-0823
(770) 995-7018
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
047669
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00907244A
—
GA
05
—
00907244B
—
GA
05
—
00907244C
—
GA
Enumeration date
07/31/2006
Last updated
08/12/2016
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