Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laken Renee Tanner, MSPAP, PA-C

Individual provider Physician Assistant · NPI 1174229579

Laken Renee Tanner, MSPAP, PA-C is a Physician Assistant in Waycross, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1900 Tebeau St
Waycross, GA 31501-6357
Phone: (912) 283-3030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11382 (GA)

Record details

NPI number1174229579
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPAP , PA-C
Sole proprietorNo
NPI enumeratedFebruary 7, 2023
Last updated in NPPESFebruary 7, 2023
Certification dateJanuary 30, 2023

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