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Individual

TIAN XIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
175 N BROAD ST, WINDER, GA 30680-2153
(770) 868-1144
(770) 868-1276
Mailing address
5330 NORTHWATER WAY, DULUTH, GA 30097-2485
(770) 840-8581
(770) 840-0641

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3045
WI
207Q00000X
Family Medicine Physician
Primary
116019066
VA

Other

Enumeration date
07/11/2007
Last updated
10/17/2023
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