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Individual

FRANK TANNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SA-C, CSFA

Contact information

Practice address
3142 HIGHWAY 278 NW #135, COVINGTON, GA 30014
(678) 516-2119
Mailing address
3142 HIGHWAY 278 NW # 135, COVINGTON, GA 30014-2304
(678) 516-2119

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
02/06/2014
Last updated
12/21/2020
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