Individual
DR. WILLIAM BRUCE TANNEHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 13TH ST, SUITE 250, AUGUSTA, GA 30901-1015
(706) 724-2500
(706) 823-5928
Mailing address
1125 TROUPE ST, P.O. BOX 3129, AUGUSTA, GA 30914-3129
(706) 737-4575
(706) 731-5289
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
036023
GA
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
036023
GA
2085N0700X
Neuroradiology Physician
036023
GA
2085N0904X
Nuclear Radiology Physician
036023
GA
2085P0229X
Pediatric Radiology Physician
036023
GA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036023
GA
2085U0001X
Diagnostic Ultrasound Physician
036023
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00518273C
—
GA
01
—
1346357217
NPI - VASCULAR RADIOLOGY
—
05
—
G36023
—
SC
Enumeration date
04/21/2006
Last updated
10/31/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us