Individual
DR. BRANDON MICHAEL TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
333 PRADO WAY, GREENVILLE, SC 29607-6512
(360) 420-6907
Mailing address
333 PRADO WAY, GREENVILLE, SC 29607-6512
(864) 627-4272
(864) 640-8562
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3159
SC
111N00000X
Chiropractor
CH34404
WA
Other
Enumeration date
05/09/2007
Last updated
05/05/2017
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