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Organization
TANNER MEDICAL GROUP INC
Active
Organization
TANNER MEDICAL GROUP INC
Active
Other names
West Georgia Urology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT HOFFMAN (SENIOR VP TMG OPERATIONS)
(770) 838-8302
Entity
Organization
Contact information
Practice address
150 CLINIC AVE STE 202, CARROLLTON, GA 30117-4402
(770) 834-6988
(770) 834-1090
Mailing address
100 GREENWAY BLVD FL 2, CARROLLTON, GA 30117-4338
(770) 838-8710
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
05/03/2023
Last updated
02/29/2024
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