Organization
TANNER BRIDGE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT HOFFMAN (SENIOR VP TANNER MEDICAL GROUP)
(770) 812-5304
Entity
Organization
Contact information
Practice address
1480 S HIGHWAY 27 STE B, CARROLLTON, GA 30117-8901
(770) 812-5900
(770) 812-5584
Mailing address
100 GREENWAY BLVD BOX C, CARROLLTON, GA 30117-4358
(770) 838-8710
(770) 812-5735
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
12/19/2024
Last updated
05/19/2025
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