Individual
VILMARIE J TANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
739 PRESIDENT PL STE 110, SMYRNA, TN 37167-6845
(615) 628-7780
(615) 625-7781
Mailing address
739 PRESIDENT PL STE 110, SMYRNA, TN 37167-6845
(615) 625-7780
(615) 625-7781
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
020746
PR
208000000X
Pediatrics Physician
Primary
50494
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020746
MEDICAL LICENSE
PR
01
—
50494
STATE LICENSE
TN
Enumeration date
07/16/2012
Last updated
02/27/2018
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