Organization · Type 2 NPI

Tanner Medical Center, Inc.

Skilled Nursing Facility · Carrollton, GA

NPI number 1619953882 Active

Practice location

705 Dixie St
Carrollton, GA 30117-3818

Fax (770) 836-9897

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	1-0221537 (GA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1619953882
Entity type: Organization (Type 2)
Issued: Dec 20, 2005
Last updated: Nov 26, 2007
Status: Active
Subpart: Yes of Tanner Medical Center, Inc.

Other names

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Tanner Skilled Nursing Facility · doing business as

Authorized official

Mr. Lee C. Sherseth
CFO
(770) 836-9697

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619953882

Tanner Medical Center, Inc.'s National Provider Identifier is 1619953882, issued on Dec 20, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Carrollton, GA. The record was last updated on Nov 26, 2007.