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Individual

MISS MINH LAM TANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PAA

Contact information

Practice address
7813 SPIVEY STATION BLVD, JONESBORO, GA 30236
(404) 778-8311
Mailing address
4246 CHERYL ANN CT, STONE MOUNTAIN, GA 30083-4201
(678) 296-0410
(770) 478-2908

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
008095
GA

Other

Enumeration date
10/05/2016
Last updated
05/17/2018
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