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ANTHONY TANNER

Nurse Practitioner

NPI: 1275804270IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

R205397-4(MN)

CMS Specialties

Education

OTHER

Class of 2011

Contact & Hours

Address
7001 HWY 614
HURLEY, MS 39555

Quick Facts

NPI
1275804270
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
15

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