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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TANNER BOS

Active

TANNER BOS is a Athletic Trainer healthcare provider located in BUIES CREEK, North Carolina. NPI 1336864354 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · BUIES CREEK, NC

Registration Details

NPI Number
1336864354
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2022 (3.6949982256603 yrs)
Last Updated
Oct 12, 2022
License
LAT-4887 (NC)

Practice Information

Address
558 WADE STEWART ROAD
BUIES CREEK, NC, 27506
Browse NC providers · Browse ZIP 27506
Phone
6412242226
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in BUIES CREEK, NC

Name Credential NPI
MS. CATHERINE A SIMONSON ATC 1992734024
BRISHEN DEARBORN ATC 1073033569
ABIGAIL R HARRISON MS, LAT, ATC 1538772249
KATE MATAVA ATC 1699532135
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.