Individual
MRS. QIAN TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
106 BRIARWOOD RD, STATESBORO, GA 30458-2459
(912) 871-5000
(912) 681-1444
Mailing address
PO BOX 2029, STATESBORO, GA 30459-2029
(912) 871-5000
(912) 681-1444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN221623
GA
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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