Provider Demographics
NPI:1760593511
Name:SEE, TAHNYA DUNN (MD)
Entity Type:Individual
Prefix:MRS
First Name:TAHNYA
Middle Name:DUNN
Last Name:SEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3629 HUNTINGBORO TRL
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-4947
Mailing Address - Country:US
Mailing Address - Phone:615-361-7436
Mailing Address - Fax:
Practice Address - Street 1:739 PRESIDENT PL STE 140
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6845
Practice Address - Country:US
Practice Address - Phone:615-223-7722
Practice Address - Fax:615-223-7722
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000018989173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNF96049Medicare UPIN