Organization
TANNER PRIMARY CARE OF ROANOKE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT HOFFMAN (SR VP)
(770) 838-8302
Entity
Organization
Contact information
Practice address
965 HIGHWAY 431, ROANOKE, AL 36274-7329
(334) 863-2141
(334) 863-8733
Mailing address
100 GREENWAY BLVD FL 2, CARROLLTON, GA 30117-4338
(770) 838-8710
(770) 812-5735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
02/29/2024
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