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Mary Tanner
Medical Physician Assistant in Charlotte, North Carolina
NPI 1265212104

Mary Tanner is a Medical Physician Assistant based in Charlotte, NC and is specialized in Medical. Mary Tanner practices in Charlotte, NC. The NPI Number for Mary Tanner is 1265212104 and holds a License No. 001013531 (North Carolina).

The current practice location address for Mary Tanner is 2630 E 7Th St Ste 200, Charlotte, NC and can be reached out via phone at 704-364-6110.

Location: 2630 E 7Th St Ste 200, Charlotte, NC, 28204-4319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265212104
Provider Name
Mary Tanner
Credential
Provider Entity Type
Individual
Gender
Female
Address
2630 E 7Th St Ste 200, Charlotte, NC, 28204-4319
Phone Number
704-364-6110
Fax Number
Provider Enumeration Date
09/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2630 E 7Th St Ste 200
City
Charlotte
State
North Carolina
Zip
28204-4319
Phone Number
704-364-6110
Fax Number
person
Provider Business Mailing Address Details
Address
2630 E 7Th St Ste 200
City
Charlotte
State
North Carolina
Zip
28204-4319
Phone Number
704-364-6110
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
001013531 (North Carolina)
Definition
Definition to come...
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