Tanner, David D

Tanner, David D is an individual health care provider with primary practice located at 2045 Peachtree Rd Ne Ste 800 , Atlanta GA 30309-1412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Tanner, David D can be contacted via phone (770) 953-3331.

Contact Information

Primary practice address
2045 Peachtree Rd Ne Ste 800 Atlanta GA 30309-1412
Fax: (404) 351-5753
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 20834 Georgia

Profile Details

NPI number 1396785218
LBN Legal business name Tanner, David D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 12th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396785218 NPPES
Georgia MEDICAID 00384953B

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