Tanner Family Healthcare of Franklin Inc
Organization Active NPI Rural Health Clinic/Center · Franklin, GA
NPI 1871784645 · NPPES record last updated May 7, 2014
Key facts
- NPI
- 1871784645
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- TANNER FAMILY HEALTHCARE OF FRANKLIN INC
- Practice address
- 2906 Franklin Pkwy
Franklin, GA 30217-7544 - Phone
- (706) 675-6949
- Fax
- (706) 675-1936
- NPI assigned
- Aug 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Susan Fox
- Title
- VP Operations
- Phone
- (770) 838-8845
Member of 1
Practitioners 2
-
Shawna M Berg, FNP
-
Cory C Butzon, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1072749 | Tanner Family Healthcare of Franklin | Certificate of waiver | Aug 22, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
2906 Franklin Pkwy
Franklin, GA 30217-7544
Mailing address
PO Box 896096
Charlotte, NC 28289-6096
Phone (770) 838-8787
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG3400 | Other | GA | MEDICARE ID |
Other providers in Franklin, GA
- Elizabeth Ann Reed
- Leah Robinson
- Lisa Bridwell Robinson
- Jessica Leigh Smith
- Success Brand LLC
- United Rehab Inc.
All providers in Franklin, GA · Rural Health Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.