Tanner, Lydia Chaney
Tanner, Lydia Chaney is an individual health care provider with primary practice located at 100 Doctors Dr Ste G , Douglas GA 31533-2211. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tanner, Lydia Chaney can be contacted via phone (912) 384-6186.Contact Information
Primary practice address
100 Doctors Dr Ste G
Douglas GA 31533-2211
Phone: (912) 384-6186
Fax: (912) 384-6187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 53885 | Georgia |
Profile Details
| NPI number | 1790799740 |
|---|---|
| LBN Legal business name | Tanner, Lydia Chaney |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790799740 | NPPES |
| Georgia | MEDICAID | 366115747B | |
| Georgia | Other | 053885 | |
| Georgia | MEDICAID | 366115747A |
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