Tanner Medical Clinic Llc
Tanner Medical Clinic Llc is a health care provider in Tanner, AL. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 20104 Swanner Blvd, Suite 4, Tanner, AL 35671-3651, US |
|Practice Location Phone||256-686-3334|
|Practice Location Fax||256-686-3339|
|Legal Business Name||TANNER MEDICAL CLINIC LLC|
|Enumeration Date ? ||Jan 18, 2013|
|Last Update Date ? ||Nov 7, 2014|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Tanner Medical Clinic Llc
|Specialty||Provider Type||Specialization||License||License State|
|Family Medicine||Allopathic & Osteopathic Physicians|| |
|Clinic/Center||Ambulatory Health Care Facilities||Rural Health ||Alabama|
|Nurse Practitioner||Physician Assistants & Advanced Practice Nursing Providers|| |
Legacy Provider IDs of Tanner Medical Clinic Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Tanner Medical Clinic Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Tanner Medical Clinic Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Jessica Flores|
|Authorized Official Title/Position||ADMINISTRATOR|
|Authorized Official Phone Number||256-686-3334|