Organization
TMC WEST GEORGIA CARDIOLOGY INC
Active
Organization
TMC WEST GEORGIA CARDIOLOGY INC
Active
Other names
Tanner Heart & Vascular Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DALE DREILING M.D. (SENIOR VP)
(770) 838-8038
Entity
Organization
Contact information
Practice address
705 DIXIE ST, SUITE 401, CARROLLTON, GA 30117-3818
(770) 836-9326
(770) 836-9358
Mailing address
119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 30117-3857
(770) 836-9326
(770) 836-9358
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH6189
MEDICARE ID
GA
Enumeration date
06/17/2006
Last updated
06/30/2010
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