Individual provider · Type 1 NPI

Laken Renee Tanner, MSPAP, PA-C

Physician Assistant · Waycross, GA

NPI number 1174229579 Active

Practice location

1900 Tebeau St
Waycross, GA 31501-6357

Call (912) 283-3030 Map

Mailing address

99 Rufus Rd
Willacoochee, GA 31650-5400

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X11382 (GA)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174229579

Laken Renee Tanner, MSPAP, PA-C's National Provider Identifier is 1174229579, issued on Feb 7, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Waycross, GA. The record was last updated on Feb 7, 2023.