Dr. Lydia Chaney Tanner, M.D.
Family Medicine in Douglas, GA. Individual provider (NPI-1).
NPI number1790799740
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1790799740
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lydia Chaney Tanner
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2006
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 53885 | GA | Yes |
Practice location
100 Doctors Dr Ste GDouglas, GA 31533-2211
Phone 912-384-6186 · Fax 912-384-6187
Mailing address
Po Box 1377Douglas, GA 31534-1377
Phone 912-384-1477 · Fax 912-384-1470
Other practice locations
200 Doctors Dr Ste S
Douglas, GA 31533-2203
Douglas, GA 31533-2203
Phone 912-292-0658 · Fax 912-292-0670
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