Organization
TANNER PRIMARY CARE OF WEDOWEE INC
Active
Other names
Wedowee Rural Health
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT HOFFMAN (SR VP)
(770) 812-8845
Entity
Organization
Contact information
Practice address
1030 MAIN ST S, WEDOWEE, AL 36278-7440
(256) 357-2188
(256) 357-2023
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-8904
RHC CERTIFICATION NUMBER
AL
05
—
139022
—
AL
05
—
155218
—
AL
Enumeration date
04/12/2012
Last updated
02/29/2024
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