Individual
MIN JIE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 BEAVER RUIN RD NW, LILBURN, GA 30047-3413
(770) 923-7778
(770) 923-0180
Mailing address
475 PHILIP BLVD, STE 100, LAWRENCEVILLE, GA 30046
(770) 995-3300
(770) 995-3307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041492
GA
Other
Enumeration date
05/09/2006
Last updated
04/18/2014
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