Tanner Neuroscience Specialist

LBN: Tanner Neuroscience Specialist
Tanner Neuroscience Specialist is an health care organization with primary practice located at 705 Dixie St , Carrollton GA 30117-3818. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Tanner Neuroscience Specialist can be contacted via phone (770) 812-9697, or through Crews, Carol via phone (770) 812-9580.

Contact Information

Primary practice address
705 Dixie St Carrollton GA 30117-3818
Phone: (770) 812-9697
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crews, Carol
Phone: (770) 812-9580

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1588192660
LBN Legal business name Tanner Neuroscience Specialist
DBA Doing business as
Authorized official Crews, Carol
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2017
Last updated Feb 29th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588192660 NPPES
Georgia MEDICAID PENDING

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