Individual
DAVID TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4539 HEDGEMORE DR, SUITE 100, CHARLOTTE, NC 28209-3276
(704) 331-9669
Mailing address
4539 HEDGEMORE DR, CHARLOTTE, NC 28209-3276
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35529
NC
Other
Enumeration date
12/21/2005
Last updated
02/12/2019
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