| Dr Marshall Glynn Tanner, MD | |
|
2016 Ocilla Rd, Douglas, GA 31533-2230 | |
| (912) 384-4010 | |
| (912) 384-4018 |
| Full Name | Dr Marshall Glynn Tanner |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 23 Years |
| Location | 2016 Ocilla Rd, Douglas, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326031865 | NPI | - | NPPES |
| 00567102T | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 056658 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Union General Hospital | Blairsville, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southland Bainbridge Hospitalist Group, Llc | 7214248335 | 47 |
| Entity Name | Douglas Medical Specialist |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154475085 PECOS PAC ID: 6204868862 Enrollment ID: O20050902000434 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Entity Name | Southland Emergency Medical Services Consolidated, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
| Entity Name | Southland Bainbridge Hospitalist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356735336 PECOS PAC ID: 7214248335 Enrollment ID: O20150616002069 |
| Entity Name | Southland Chatuge Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881127942 PECOS PAC ID: 5294003844 Enrollment ID: O20170622001904 |
| Entity Name | Southland Union Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164954715 PECOS PAC ID: 8224308770 Enrollment ID: O20170717002347 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marshall Glynn Tanner, MD 710 N Irwin Ave, Suite 106, Ocilla, GA 31774-5011 Ph: (229) 468-3800 | Dr Marshall Glynn Tanner, MD 2016 Ocilla Rd, Douglas, GA 31533-2230 Ph: (912) 384-4010 |
Dr. Akhil Baranwal, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1105 Lee Ave, Douglas, GA 31533 Phone: 912-393-5051 Fax: 954-301-6333 | |
Sudhakar Jonnalagadda, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Shirley Ave, Douglas, GA 31533 Phone: 912-384-7275 Fax: 912-384-4343 | |
Mr. Dennis Conrad Harper, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 N. Peterson Avenue, Suite C, Douglas, GA 31533 Phone: 912-384-4000 Fax: 912-384-4085 | |
Dr. Willie W Bell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1305 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-0600 Fax: 912-384-0601 | |
Dr. John David Arnett, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Doctors Dr, Suite 106, Douglas, GA 31533 Phone: 912-384-3338 | |
Dr. Joel W Ferree, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1305 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-0600 Fax: 912-384-0601 | |
Dr. Glenn Hamilton Evans Sr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1305 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-0600 Fax: 912-384-0601 |