Michael Tanner, LMFT is a
Marriage & Family Therapist based in Fairburn, Georgia. Michael Tanner is licensed to practice in Georgia (license number LMFT001813) and his current practice location is
5763 Village Loop, Fairburn, Georgia. He can be reached at his office (for appointments etc.) via phone at
(770) 377-1563.
NPI number for Michael Tanner is 1548869183 and his current mailing address is 5763 Village Loop, Fairburn, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548869183.
Healthcare Provider's Profile
Full Name | Michael Tanner |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 5763 Village Loop, Fairburn, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548869183
- Provider Enumeration Date: 10/24/2020
- Last Update Date: 10/24/2020
Medical Identifiers
Medical identifiers for Michael Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548869183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | LMFT001813 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Tanner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael Tanner, LMFT 5763 Village Loop, Fairburn, GA 30213-4641 Ph: (770) 377-1563 | Michael Tanner, LMFT 5763 Village Loop, Fairburn, GA 30213-4641 Ph: (770) 377-1563 |
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