1114911294 NPI number — DR. WILLIAM GORDON TANNER JR. M.D.

Table of content: DR. WILLIAM GORDON TANNER JR. M.D. (NPI 1114911294)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114911294 NPI number — DR. WILLIAM GORDON TANNER JR. M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TANNER
Provider First Name:
WILLIAM
Provider Middle Name:
GORDON
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114911294
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/25/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
721 WELLNESS WAY
Provider Second Line Business Mailing Address:
STE 100
Provider Business Mailing Address City Name:
LAWRENCEVILLE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30046-3304
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-995-7989
Provider Business Mailing Address Fax Number:
770-339-8646

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
721 WELLNESS WAY
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
LAWRENCEVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30046-3304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-995-7989
Provider Business Practice Location Address Fax Number:
770-339-8646
Provider Enumeration Date:
09/06/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  046817 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 52237427 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 582061514007 . This is a "PRUDENTIAL" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 8485 . This is a "ONE HEALTH" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 00828396B , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7231009 . This is a "MANAGE CARE" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 100014260 . This is a "RAIL ROAD MEDICARE" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 29-00016 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 8485 . This is a "PROMINA" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".




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