Individual
MR. COLBY TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305-1056
(334) 793-5000
Mailing address
167 PEACOCK ST, DOTHAN, AL 36301-6341
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-176000
AL
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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