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
—
—
Other
Enumeration date
05/03/2023
Last updated
02/29/2024
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