Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanner Medical Group Inc

Organization Non-Pharmacy Dispensing Site · NPI 1043909302

Tanner Medical Group Inc is a Non-Pharmacy Dispensing Site in Carrollton, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

150 Clinic Ave Ste 202
Carrollton, GA 30117-4402
Phone: (770) 834-6988
Fax: (770) 834-1090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1043909302
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clint Hoffman — Senior Vp Tmg Operations · (770) 838-8302
Other names West Georgia Urology Associates; West Georgia Urology Associates
NPI enumeratedMay 3, 2023
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024
Mailing address100 Greenway Blvd Fl 2, Carrollton, GA 30117-4338

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