Individual
ZHIBO TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 MEDICAL PARK DR E, BIRMINGHAM, AL 35235-3401
(205) 838-3383
Mailing address
50 MEDICAL PARK DR E, BIRMINGHAM, AL 35235-3401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-154886
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9537310
DRIVER'S LICENSE
AL
Enumeration date
04/15/2019
Last updated
04/15/2019
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