IndividualActive
Andy Tanner, D.O.
NPI 1689776387 · Family Medicine Physician · Charleston, WV
Provider details
- NPI number
- 1689776387
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 1817 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
511 Morris St
Charleston, WV 25301-1326
Phone: (304) 525-7851
Approximate (ZIP-level) locationGet directions
Mailing address
99 Cracker Barrel Dr Ste 100
Barboursville, WV 25504-1650
Additional practice locations (2)
- 376 Kenmore DrDanville, WV 25053-7083Phone: (304) 525-7851
- 55 Donohoe DrHuntington, WV 25705-8887Phone: (304) 525-7851
Registry dates
- Enumerated
- 2006-09-02
- Last updated
- 2024-09-10
- Certified
- 2024-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.