Organization
TARHEEL SURGICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD FITZGERALD TANNER MD (OWNER/PHYSICIAN)
(252) 799-3006
Entity
Organization
Contact information
Practice address
310 S. MCCASKEY RD., WILLIAMSTON, NC 27892-1128
(252) 799-3006
(252) 799-0955
Mailing address
310 S. MCCASKEY RD., WILLIAMSTON, NC 27892-1128
(252) 799-3006
(252) 799-0955
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9800713
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891153P
—
NC
Enumeration date
09/07/2007
Last updated
09/07/2007
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