Tanner Primary Care of Heflin

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TANNER PRIMARY CARE OF HEFLIN

Practice address

150 Tompkins St
Heflin, AL 36264-1836

Phone

(770) 812-6570

Fax

(770) 812-6575

NPI assigned

Mar 30, 2009

Last updated

Aug 30, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dale Dreiling, M.D.

Title

Senior V.P.

Phone

(770) 812-5304

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1154563666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 AMBULANCE DR",
            "address_2": "SUITE 202",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173857",
            "telephone_number": "770-812-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TOMPKINS ST",
            "city": "HEFLIN",
            "state": "AL",
            "postal_code": "362641836",
            "telephone_number": "770-812-6570",
            "fax_number": "770-812-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNER PRIMARY CARE OF HEFLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "DREILING",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "SENIOR V.P.",
        "authorized_official_telephone_number": "770-812-5304",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quality of Life Health Services, Inc (Cleburne Quality Health Care)
• Quality of Life Health Services, Inc. (Heflin Quality Pharmacy)
• Giselle Sharp, LCSW
• State of Alabama
• State of Alabama Department of Public Health (Cleburne County Health Dept Flu-Pneu)
• Frank B Tant, PHARM. D.
• The Health Care Authority of the Town of Wedowee (Wedowee Hospital)
• Dolores Villamor Victoria, MD
• Tracy C Wade, ARNP
• Lana Walker

• Family Medicine Physician in Heflin, AL
• Providers in Heflin, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.