Jennifer Hadden Tanner in Louisville - Physician Assistant

Jennifer Hadden Tanner - NPI 1710087101

Jennifer Hadden Tanner is a Physician Assistant in Louisville, Georgia. Jennifer Hadden Tanner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Hadden Tanner is 1710087101. The last update date is 2018-09-28.

Jennifer Hadden Tanner's current location address is 1067 Peachtree St, Louisville, Georgia. You can contact this provider via phone number 4786257000 and fax number 4786258907. The mailing address for Jennifer Hadden Tanner is 1067 Peachtree St, Louisville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Hadden Tanner
Address 1067 Peachtree St, Louisville, Georgia
Phone Number 4786257000
Fax Number 4786258907
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1710087101
Provider Enumeration Date 2006-09-25
Last Updated Date 2018-09-28

Provider Mailing Address Detail

Address 1067 Peachtree St
City Louisville
State Georgia (GA)
Post Code 304341558
Phone Number 4786257000
Fax Number 4786258907

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 4764
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
044692615A GA --

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FAQs about Jennifer Hadden Tanner

What is the unique identification code assigned to Jennifer Hadden Tanner by the Centers for Medicare & Medicaid Services?

The Jennifer Hadden Tanner has been issued the NPI (National Provider Identifier) 1710087101. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Jennifer Hadden Tanner?

The Jennifer Hadden Tanner is situated at 1067 Peachtree St, in the city of Louisville, state of GA, with the zip code 304341558.

What is Jennifer Hadden Tanner's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jennifer Hadden Tanner's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date was the 1710087101 assigned to Jennifer Hadden Tanner?

The Jennifer Hadden Tanner was issued its 1710087101 on 2006-09-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Jennifer Hadden Tanner last refreshed?

The information related to the Jennifer Hadden Tanner, including its address, specialty, and other relevant details, was last updated on 2018-09-28.

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