Individual
JING TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT-A
Contact information
Practice address
745 MEMORIAL DR SE, ATLANTA, GA 30316-1185
(404) 616-5773
Mailing address
1980 TANGLEWOOD DR, SNELLVILLE, GA 30078-3037
(678) 646-3258
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
A033724
GA
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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