Individual
DR. CORAZON CABRERA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
880 HOLCOMB BRIDGE RD, SUITE 150-B, ROSWELL, GA 30076-1969
(770) 998-0605
(770) 587-3528
Mailing address
880 HOLCOMB BRIDGE RD, SUITE 150-B, ROSWELL, GA 30076-1969
(770) 998-0605
(770) 587-3528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036662
GA
207Q00000X
Family Medicine Physician
48566
WI
Other
Enumeration date
08/24/2006
Last updated
09/26/2012
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