TANNER MEDICAL CENTER INC NPI 1306356035

NPI Information

NPI: 1306356035
Provider Name: TANNER MEDICAL CENTER, INC

Doing Business As: TANNER CENTER FOR SLEEP DISORDERS

Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
100 PROFESSIONAL PL STE 307
CARROLLTON, GA
ZIP 30117
Phone: (770) 812-9146
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TANNER MEDICAL CENTER, INC is a sleep disorder diagnostic clinic center in Carrollton, GA. TANNER MEDICAL CENTER, INC NPI is 1306356035. The provider is registered as an organization entity type.
The provider Is Doing Business As Tanner Center For Sleep Disorders.

The provider's business location address is:

100 PROFESSIONAL PL STE 307
CARROLLTON, GA
ZIP 30117-872
Phone: (770) 812-9146

The provider's authorized official is Carol S. Crews .
The authorized official title is Cfo and has the following contact phone number (770) 812-9580.

The enumeration date for this NPI number is 10/9/2017 and was last updated on 10/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1867C	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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