Individual
BEVERLY JEAN TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1315 JESSE JEWELL PKWY NE STE 200, GAINESVILLE, GA 30501-3822
(770) 219-9300
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN117546
GA
Other
Enumeration date
01/03/2013
Last updated
02/15/2021
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