Doctor Name: | MRS. MARGARET ELAINE TANNER |
NPI Number: | 1023058716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 2284 |
Business Practice Address: | 137 N Acline St Lake City, SC - 295602107 |
Business Phone Number: | 8433948822 |
Business Fax Number: | 8433948856 |
Mailing Address: | 529 Wild Turkey Rd, HEMINGWAY |
State: | SC |
Postal Code: | 295545818 |
Phone Number: | 8435585472 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 2284 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |