Organization
TANNER MEDICAL CENTER, INC
Active
Parent organization
TANNER MEDICAL CENTER, INC.
Other names
Tanner Center for Sleep Disorders
Organization subpart
Yes
Provider details
NPI number
Legal business name
TANNER MEDICAL CENTER, INC.
Authorized official
CAROL S. CREWS (CFO)
(770) 812-9580
Entity
Organization
Contact information
Practice address
100 PROFESSIONAL PL STE 307, CARROLLTON, GA 30117-3872
(770) 812-9146
Mailing address
100 PROFESSIONAL PL STE 305, CARROLLTON, GA 30117-3872
(770) 812-8614
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1867C
—
GA
Enumeration date
10/09/2017
Last updated
10/09/2017
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