Tanner, Cala Brooke

Tanner, Cala Brooke is an individual health care provider with primary practice located at 125 Memorial Dr , Reidsville GA 30453-4641. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tanner, Cala Brooke can be contacted via phone (912) 644-5300.

Contact Information

Primary practice address
125 Memorial Dr Reidsville GA 30453-4641
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN249159 Georgia

Profile Details

NPI number 1114579331
LBN Legal business name Tanner, Cala Brooke
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2019
Last updated Jul 9th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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