Organization · Type 2 NPI

Tanner Medical Group Inc

Non-Pharmacy Dispensing Site · Carrollton, GA

NPI number 1043909302 Active

Practice location

150 Clinic Ave Ste 202
Carrollton, GA 30117-4402

Call (770) 834-6988 Map

Fax (770) 834-1090

Mailing address

100 Greenway Blvd Fl 2
Carrollton, GA 30117-4338

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

2 other providers at this address

Other non-pharmacy dispensing site providers in Carrollton

Wellstreet of Georgia PCNon-Pharmacy Dispensing Site Carrollton, GA NPI 1174104574

See all in Carrollton →

NPI record

NPI: 1043909302
Entity type: Organization (Type 2)
Issued: May 3, 2023
Last updated: Feb 29, 2024
Status: Active

Other names

<unavail>
West Georgia Urology Associates · doing business as
West Georgia Urology Associates · doing business as

Authorized official

Clint Hoffman
Senior VP TMG Operations
(770) 838-8302

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About NPI 1043909302

Tanner Medical Group Inc's National Provider Identifier is 1043909302, issued on May 3, 2023. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Carrollton, GA. The record was last updated on Feb 29, 2024.