Marshall G Tanner (NPI# 1326031865, PAC ID# 6305879990) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1326031865 |
PAC ID by PECOS | 6305879990 |
Professional Enrollment ID | I20050914000752 |
Full Name | Marshall G Tanner |
Organization Legal Name | IRWIN COUNTY HOSPITAL |
Address |
2016 Ocilla Hwy Douglas GA 31533-2230 |
Phone Number | 9123844010 |
Gender | M |
Credential | MD |
Graduation Year | 2002 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 7618950643 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110130 | IRWIN COUNTY HOSPITAL |
110089 | COFFEE REGIONAL MEDICAL CENTER |
110095 | TIFT REGIONAL MEDICAL CENTER |
110073 | DORMINY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2016 Ocilla Hwy, Douglas, GA 31533-2230 | 9123844010 | IRWIN COUNTY HOSPITAL |
357 Cargile Rd, Ocilla, GA 31774-3606 | 2294680639 | IRWIN COUNTY HOSPITAL |
710 N Irwin Ave, Ocilla, GA 31774-5011 | 9124683800 | IRWIN COUNTY HOSPITAL |
134 Fleetwood Ave E, Willacoochee, GA 31650-2730 | 9125345142 | IRWIN COUNTY HOSPITAL |
Organization Legal Name | IRWIN COUNTY HOSPITAL |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alan P Mcmahan | General Surgery | Irwin County Hospital | 602 N Irwin Ave, Suite A, Ocilla, GA 31774-5040 |
John D Rowe | Physician Assistant | Irwin County Hospital | 134 Fleetwood Ave E, Willacoochee, GA 31650-2730 |
Concordio F Ursal | General Surgery | Irwin County Hospital | 2016 Ocilla Hwy, Douglas, GA 31533-2230 |
Keri Evans | Nurse Practitioner | Irwin County Hospital | 2016 Ocilla Hwy, Douglas, GA 31533-2230 |
Street Address |
2016 OCILLA HWY |
City | DOUGLAS |
State | GA |
Zip | 31533-2230 |
Name | Specialty | Organization | Address |
---|---|---|---|
Concordio F Ursal | General Surgery | Irwin County Hospital | 2016 Ocilla Hwy, Douglas, GA 31533-2230 |
Keri Evans | Nurse Practitioner | Irwin County Hospital | 2016 Ocilla Hwy, Douglas, GA 31533-2230 |
Name | Specialty | Organization | Address |
---|---|---|---|
Henry Randall Sheffield | Chiropractic | 410 Ward E St, Douglas, GA 31533-0001 | |
Heather Cason Carver | Registered Dietitian Or Nutrition Professional | 204 Gaskin Ave N, Douglas, GA 31533-0400 | |
Thaihang Nguyen | Family Medicine | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
Stephen R Miller | Physical Therapy | 1150 W Ward St Extension, Suite B1, Douglas, GA 31533-1902 | |
Chester Theo Royals Jr. | General Surgery | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
Joel W Ferree | Cardiovascular Disease (cardiology) | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
Alfred W Mazur | Urology | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
Jesse Allen Kane | Obstetrics/gynecology | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
Kimberly E Lott | Physician Assistant | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
Amanda Bice | Nurse Practitioner | Crh Physician Practices, LLC | 1100 Ward St W Ext, Douglas, GA 31533-1902 |
Find all physicians in zip 31533 |
City | DOUGLAS |
Zip Code | 31533 |
Specialty | INTERNAL MEDICINE |
City + Specialty | DOUGLAS + INTERNAL MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.