Provider Demographics
NPI:1497929624
Name:BOYER, TANNA JANELLE (DO)
Entity Type:Individual
Prefix:
First Name:TANNA
Middle Name:JANELLE
Last Name:BOYER
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:1446 HARPER ST # BT2651
Mailing Address - Street 2:CHOG DEPARTMENT OF PEDIATRIC ANESTHESIA
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30912-4810
Mailing Address - Country:US
Mailing Address - Phone:814-574-7026
Mailing Address - Fax:706-721-7753
Practice Address - Street 1:1446 HARPER ST # BT2651
Practice Address - Street 2:CHOG DEPARTMENT OF PEDIATRIC ANESTHESIA
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-4810
Practice Address - Country:US
Practice Address - Phone:814-574-7026
Practice Address - Fax:706-721-7753
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2021-01-29
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Provider Licenses
StateLicense IDTaxonomies
PAOT012665207L00000X
GA069807207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology