NPI 1336237825

Johnson Dean Tanner, MD

Practitioner Diagnostic Radiology Physician Ridgeland, MS

Practice location

Address: 113 W Jackson St STE B, Ridgeland, MS 39157-2402
Phone: (601) 354-4327
Fax: (601) 360-0822

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 15195 (MS)

Other Radiology providers in Mississippi →

Specialist

Other Service Providers Taxonomy 174400000X Licence 15195 (MS)

Other Specialist providers in Mississippi →

Registry record

NPI: 1336237825
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2006
Record last updated: 22 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.