Individual
NEAL CHANDER TAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 RIVERSTONE VIS STE 211, BLUE RIDGE, GA 30513-6665
(706) 632-3670
(706) 632-5928
Mailing address
101 RIVERSTONE VIS STE 300, BLUE RIDGE, GA 30513-6683
(706) 258-4178
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
84934
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24125041
—
CO
05
—
299144
—
SC
01
—
P00871181
RAILROAD MEDICARE
SC
Enumeration date
06/21/2007
Last updated
03/03/2020
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