Dr. Mary Tanner
Pediatric Infectious Diseases
1600 Clifton Rd Ne
Atlanta
, Georgia 30329
Dr. Mary Tanner
Pediatric Infectious Diseases
1600 Clifton Rd Ne
Atlanta
, Georgia 30329
(816) 509-8082
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About
Features
Specialties
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Dr. Mary Tanner
- 259 Lake Ruby Dr
- Suwanee, GA
- Zip : 30024-2399
- Phone : (816) 509-8082
Second Address
- Dr. Mary Tanner
- 1600 Clifton Rd Ne
- Atlanta, GA
- Zip : 30329
- Phone : (404) 639-3311
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0208X | Pediatric Infectious Diseases | 2011009937 | MO |
National Provider Identifier
| NPI | 1174751549 |
|---|---|
| Provider Name | Dr. Mary Tanner |
| First Address | Suwanee, GA 30024-2399 |
| Second Address | Atlanta, GA 30329 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2009 |
| Last Update Date | 27/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.