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TMC WEST GEORGIA CARDIOLOGY INC NPI 1457396384


NPI Information

NPI: 1457396384
Provider Name: TMC WEST GEORGIA CARDIOLOGY INC

Doing Business As: TANNER HEART & VASCULAR SPECIALISTS

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
705 DIXIE ST
SUITE 401
CARROLLTON, GA
ZIP 30117
Phone: (770) 836-9326
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TMC WEST GEORGIA CARDIOLOGY INC is a cardiovascular disease internal medicine in Carrollton, GA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. TMC WEST GEORGIA CARDIOLOGY INC NPI is 1457396384. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tanner Heart & Vascular Specialists.

The provider's business location address is:

705 DIXIE ST
SUITE 401
CARROLLTON, GA
ZIP 30117-818
Phone: (770) 836-9326
Fax: (770) 836-9358

The provider's authorized official is Dale Dreiling .
The authorized official title is Senior Vp and has the following contact phone number (770) 838-8038.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 6/30/2010.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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
1GRP4024MEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE GROUP
2CH6189OTHERGEORGIAMEDICARE ID

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

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