Individual
MISS PERRY TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
415 E CROSSVILLE RD, ROSWELL, GA 30075-7626
(770) 642-4664
Mailing address
415 E CROSSVILLE RD, ROSWELL, GA 30075-7626
(770) 642-4664
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
06/28/2024
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