MEDICARE: MRS. TAHNYA DUNN SEE 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
1	173000000X	Legal Medicine	0000018989	TN

General Provider Information

NPI Number	:	1760593511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAHNYA DUNN SEE M.D.

Provider Business Mailing Address
First Line	:	3629 HUNTINGBORO TRL
Second Line	:
City	:	ANTIOCH
State	:	TN
Zip	:	37013-4947
Country	:	US
Telephone Number	:	615-361-7436
Fax Number	:

Provider Business Practice Location Address
First Line	:	739 PRESIDENT PL STE 140
Second Line	:
City	:	SMYRNA
State	:	TN
Zip	:	37167-6845
Country	:	US
Telephone Number	:	615-223-7722
Fax Number	:	615-223-7722

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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