Tanner, Laken Renee

Tanner, Laken Renee is an individual health care provider with primary practice located at 1900 Tebeau St , Waycross GA 31501-6357. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tanner, Laken Renee can be contacted via phone (912) 283-3030.

Contact Information

Primary practice address
1900 Tebeau St Waycross GA 31501-6357
Phone: (912) 283-3030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11382 Georgia

Profile Details

NPI number 1174229579
LBN Legal business name Tanner, Laken Renee
Credentials MSPAP, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2023
Last updated Feb 7th, 2023 - about 2 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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