Mary Taneous MD

NPI 1013984780 - Pathology - 207ZP0102X

NPI Details
NPI 1013984780
Gender Female
Enumeration Date 03/02/2006
Last Updated 07/06/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1350 WALTON WAY
AUGUSTA GA, 30901-2612, US
Phone (706) 774-5400
Fax (706) 774-5096
Business Location
14275 MIDWAY RD
SUITE 400
ADDISON TX, 75001-3614, US
Phone (317) 275-8000
Fax (317) 275-8124
Toxanomy
Taxonomy Code 207ZP0102X
License State Georgia
License Number 000346
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According to our database, Dr. Mary Taneous MD NPI is 1013984780, taxonomy code is 207ZP0102X and license number is 000346, license state is located at Georgia. Mary Taneous MD physically located at 1350 Walton Way, Augusta GA, 30901-2612. NPI Number Mary Taneous MD has the Individual type.

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1013984780 NPI number is provided on an as is basis without warranty of any kind. 1013984780 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Taneous MD are for informational purposes only.