OrganizationActive
Tanner Medical Group Inc
NPI 1043909302 · Non-Pharmacy Dispensing Site · Carrollton, GA
Provider details
- NPI number
- 1043909302
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Authorized official
- Clint Hoffman, Senior Vp Tmg Operations
Practice location
150 Clinic Ave Ste 202
Carrollton, GA 30117-4402
Phone: (770) 834-6988
Fax: (770) 834-1090
Mailing address
100 Greenway Blvd Fl 2
Carrollton, GA 30117-4338
Registry dates
- Enumerated
- 2023-05-03
- Last updated
- 2024-02-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.