Organization Name: | TANNER MEDICAL CENTER, INC. |
NPI Number: | 1033441290 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROL CREWS (CFO) |
Mailing Address: | 101 Quartz Dr Ste 103a Villa Rica |
State: | GA US |
Postal Code: | 301803256 |
Phone Number: | 7704563266 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2010 |
NPI Last Update Date: | 05/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | NOT REQUIRED |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |