Individual
MIGUEL TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1968 PEACHTREE RD NW, 77 BLDG 5TH FLOOR, ATLANTA, GA 30309-1281
(404) 605-4929
Mailing address
1968 PEACHTREE RD NW, 77 BLDG 5TH FLOOR, ATLANTA, GA 30309-1281
(404) 605-4929
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
060198
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023084170A
—
GA
01
—
I42728
UPIN
—
Enumeration date
07/11/2006
Last updated
08/28/2015
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