Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Crawford Tanner, PA-C

Individual provider Medical Physician Assistant · NPI 1265212104

Mary Crawford Tanner, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2023, 3 years ago. Practices with Metrolina Dermatology and Skin Surgery Specialists PLLC, a 39-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
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

2630 E 7th St Ste 200
Charlotte, NC 28204-4319
Phone: (704) 364-6110
Fax: (704) 364-4245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 001013531 (NC)

Record details

NPI number1265212104
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 28, 2023
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Metrolina Dermatology And Skin Surgery Specialists Pllc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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