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Individual
DR. TINA CHAU LIEN PHAN
Active
Individual
DR. TINA CHAU LIEN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
111746
GA
207R00000X
Internal Medicine Physician
MD484329
PA
208000000X
Pediatrics Physician
111746
GA
208000000X
Pediatrics Physician
MD484329
PA
208M00000X
Hospitalist Physician
Primary
111746
GA
208M00000X
Hospitalist Physician
MD484329
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
07/06/2026
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