Tanner, Dwayne L

Tanner, Dwayne L is an individual health care provider with primary practice located at 1120 W Broad Ave Ste B2 , Albany GA 31707-4385. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Tanner, Dwayne L can be contacted via phone (229) 288-7649.

Contact Information

Primary practice address
1120 W Broad Ave Ste B2 Albany GA 31707-4385
Phone: (229) 288-7649
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1891328712
LBN Legal business name Tanner, Dwayne L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2020
Last updated Feb 19th, 2020 - 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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