Individual
KATHRINE MAY REYES TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 CLIFTON RD., MS A6, ATLANTA, GA 30329
(404) 718-4701
Mailing address
1600 CLIFTON RD., MS A6, ATLANTA, GA 30329
(404) 718-4701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A77367
CA
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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