Search › South Carolina › 183500000X
Bobby Tanner
NPI 1992124259 · on the registry since 2014 · sole proprietor
Practice
- Address
- 305 Commerce Dr
Mullins, SC 29574 - Phone
- (843) 423-7510
- Fax
- (843) 423-9242
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina