Home » Alabama » 35671 » Tanner Medical Clinic Llc

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.

physician-icon Basic Information

Practice Location 20104 Swanner Blvd, Suite 4, Tanner, AL 35671-3651, US
Practice Location Phone256-686-3334
Practice Location Fax256-686-3339
Legal Business NameTANNER MEDICAL CLINIC LLC
NPI ?1376881870
Entity TypeOrganization
Enumeration Date ? Jan 18, 2013
Last Update Date ? Nov 7, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Tanner Medical Clinic Llc

SpecialtySpecializationLicenseLicense State
Family Medicine
Clinic/CenterRural Health Alabama
Nurse Practitioner

legacy-id-icon Legacy Provider IDs of Tanner Medical Clinic Llc

Provider IdIssuer StateIssuer TypeIssuer
159174AlabamaMedicaid

official-icon 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/PositionADMINISTRATOR
Authorized Official Phone Number256-686-3334