Individual
KHEA MARIE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 WOODRUFF CIRCLE WMB SUITE 51505, ATLANTA, GA 30322-4859
(855) 366-7989
Mailing address
5 ANDERSON CT, SAYREVILLE, NJ 08872-1000
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
102988
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
02/11/2025
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