Healthcare Provider Details

I. General information

NPI: 1871784645
Provider Name (Legal Business Name): TANNER FAMILY HEALTHCARE OF FRANKLIN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2007
Last Update Date: 05/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2906 FRANKLIN PKWY
FRANKLIN GA
30217-7544
US

IV. Provider business mailing address

PO BOX 896096
CHARLOTTE NC
28289-6096
US

V. Phone/Fax

Practice location:
  • Phone: 706-675-6949
  • Fax: 706-675-1936
Mailing address:
  • Phone: 770-838-8787
  • Fax: 770-838-8922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SUSAN FOX
Title or Position: VP OPERATIONS
Credential:
Phone: 770-838-8845