DAVID D TANNER MD

Allergy and Immunology

Atlanta, Georgia

Provider NPI: 1396785218

Provider Information:
 DAVID D TANNER MD


Practice Location:
2045 PEACHTREE RD NE STE 800  ATLANTA, GA 30309 US
Tel: 770-953-3331  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	GA	20834

Other Provider Identifiers:

Issuer	Number	State	Type
	00384953B	GA	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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