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

MS. MARSHA ANN TANNER, MT(AMT)

Active Sole Proprietor

MS. MARSHA ANN TANNER, MT(AMT) is a Clinical Medical Laboratory healthcare provider located in MIZE, Mississippi. NPI 1679821417 is currently active in the NPPES registry. Verify at CMS.

Clinical Medical Laboratory · MIZE, MS

Registration Details

NPI Number
1679821417
Provider Type
Individual
Gender
Female
NPI Issued
Aug 28, 2012 (13.988255116127 yrs)
Last Updated
Nov 14, 2012
Licenses
CLP.201475-GEN (LA)
211278
MLT 43092
Sole Proprietor
Yes

Practice Information

Address
452 SCR 60
MIZE, MS, 391165350
Browse MS providers · Browse ZIP 39116
Phone
6016787784
Primary Specialty
Clinical Medical Laboratory
291U00000X
Additional Specialty
Clinical Medical Laboratory
Additional Specialty
Clinical Medical Laboratory
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.