Individual
MACY TANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
583 FORESTEDGE DR, CINCINNATI, OH 45255-3934
(513) 692-8852
Mailing address
583 FORESTEDGE DR, CINCINNATI, OH 45255-3934
(513) 692-8852
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.008841RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/18/2023
Last updated
07/16/2024
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