Individual
TOM TIEN DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
679 HOSPITAL ROAD, COMMERCE, GA 30529-1146
(706) 335-4884
(706) 336-8798
Mailing address
679 HOSPITAL ROAD, COMMERCE, GA 30529-1146
(706) 335-4884
(706) 336-8798
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000824
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000771427F
—
GA
05
—
000771427G
—
GA
05
—
300029612C
—
GA
Enumeration date
06/12/2007
Last updated
09/30/2011
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