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Individual

DR. SHAN TIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
2007 RAINBOW DR, GADSDEN, AL 35901-5507
(256) 543-0009
(256) 549-1221
Mailing address
340 SHANNON CIR, GADSDEN, AL 35904-3249
(256) 543-3967

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2090
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-21733
BCBS PIN
AL
Enumeration date
11/01/2006
Last updated
07/08/2007
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