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Contact Information

PAUL R TANNER, MD
6019 WALNUT GROVE
MEMPHIS, TN38120
 Phone: 901-383-8860
 Fax: 901-383-1194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for PAUL R TANNER · (Male)

NPI # 1003921404
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 25372
  • MS Medicaid 00115692
  • TN Medicaid 3092642
  • AR Other 97090 BCBS
  • MS Other P00074329 MEDICARE RR
  • TN Other 3016599 BCBS
Hospital affiliation(s)
  • BAPTIST MEMORIAL HOSPITAL - (Acute Care)
    6019 WALNUT GROVE ROAD
    MEMPHIS, TN 38120
  • BAPTIST MEMORIAL HOSPITAL BOONEVILLE - (Acute Care)
    100 HOSPITAL DRIVE
    BOONEVILLE, MS 38829
  • BAPTIST MEMORIAL HOSPITAL DESOTO - (Acute Care)
    7601 SOUTHCREST PARKWAY
    SOUTHAVEN, MS 38671
  • BAPTIST MEMORIAL HOSPITAL HUNTINGDON - (Acute Care)
    631 RB WILSON DR
    HUNTINGDON, TN 38344
  • NEA BAPTIST MEMORIAL HOSPITAL - (Acute Care)
    4800 EAST JOHNSON AVENUE
    JONESBORO, AR 72401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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