Individual
DR. JOSEFINA C. TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
106 E BROAD ST, SAVANNAH, GA 31401-2917
(912) 527-1000
Mailing address
106 E BROAD ST, SAVANNAH, GA 31401-2917
(912) 527-1000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
019193
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10063432
AMERIGROUP
—
05
—
469298310A
—
GA
Enumeration date
12/18/2006
Last updated
10/04/2012
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