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Individual

WILLIAM STEPHEN TANKERSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
034484
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0382260001
DMERC MEDICARE SUPPLIES
01
0942075
UNITED HEALTHCARE
01
12043
BCBS OF NC
01
200036693
RAILROAD MEDICARE
01
2167312
AETNA US HEALTHCARE
01
23258
PRINCIPAL HEALTHCARE
01
31743
PARTNERS MEDICARE
05
380326550B
GA
01
53003473
AETNA
01
5374830002
CIGNA HEALTHCARE
01
89026
MEDCOST
05
8912043
NC
Enumeration date
02/15/2006
Last updated
01/14/2014
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