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Tanner Medical Center, Inc.
Prosthetic/Orthotic Supplier in Carrollton, Georgia
NPI 1104850965

Tanner Medical Center, Inc. is a Prosthetic/Orthotic Supplier based in Carrollton, GA. Tanner Medical Center, Inc. practices in Carrollton, GA. The NPI Number for Tanner Medical Center, Inc. is 1104850965 and holds a License No. 004396 (Georgia).

The current practice location address for Tanner Medical Center, Inc. is 157 Clinic Ave, Carrollton, GA and can be reached out via phone at 770-836-9697 and via fax at 770-836-9897.

Location: 157 Clinic Ave, Carrollton, GA, 30117-3818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104850965
Provider Name
Tanner Medical Center, Inc.
Credential
Provider Entity Type
Organization
Address
157 Clinic Ave, Carrollton, GA, 30117-3818
Phone Number
770-836-9697
Fax Number
770-836-9897
Provider Enumeration Date
07/10/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000001867B 05 GA
000001867C 05 GA
institution
Provider Business Practice Location Address Details
Address
157 Clinic Ave
City
Carrollton
State
Georgia
Zip
30117-4454
Phone Number
770-836-9697
Fax Number
770-836-9897
person
Provider Business Mailing Address Details
Address
157 Clinic Ave
City
Carrollton
State
Georgia
Zip
30117-4454
Phone Number
770-836-9697
Fax Number
770-836-9897
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
004396 (Georgia)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
004396 (Georgia)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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