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NPI Code Detail

MEDICARE: DR. MARC ANTHONY TANNER M.D.

MEDICARE: DR. MARC ANTHONY TANNER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0106XOrthopaedic Hand Surgery Physician33960SC

General Provider Information

NPI Number : 1629153283
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARC ANTHONY TANNER M.D.
Provider Business Mailing Address
First Line : 3150 HIGHWAY 153
Second Line :
City : PIEDMONT
State : SC
Zip : 29673-9498
Country : US
Telephone Number : 864-295-1231
Fax Number : 864-295-0095
Provider Business Practice Location Address
First Line : 3150 HIGHWAY 153
Second Line :
City : PIEDMONT
State : SC
Zip : 29673-9498
Country : US
Telephone Number : 864-295-1231
Fax Number : 864-295-0095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 08/26/2020

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