Organization
TANNER IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL CREWS (CFO)
(770) 812-9580
Entity
Organization
Contact information
Practice address
119 AMBULANCE DR, CARROLLTON, GA 30117-3857
(770) 812-9660
Mailing address
100 PROFESSIONAL PARK STE. 305, CARROLLTON, GA 30117
(770) 812-8614
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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