Tanner, Tyneshea Marlene

Tanner, Tyneshea Marlene is an individual health care provider with primary practice located at 107 Pavilion Pkwy , Fayetteville GA 30214-4098. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Tanner, Tyneshea Marlene can be contacted via phone (770) 371-1200.

Contact Information

Primary practice address
107 Pavilion Pkwy Fayetteville GA 30214-4098
Fax: (770) 371-1200
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH0201333 Georgia

Profile Details

NPI number 1326334277
LBN Legal business name Tanner, Tyneshea Marlene
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2011
Last updated Jun 20th, 2011 - about 15 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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