Individual
JOHN P TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 OBERLIN RD, RALEIGH, NC 27605-1126
(919) 235-6566
Mailing address
601 OBERLIN RD, RALEIGH, NC 27605-1126
(919) 235-6566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007-00964
NC
Other
Enumeration date
05/18/2007
Last updated
03/03/2021
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