Individual
RONG TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 532-7179
Mailing address
1488 JESSE JEWELL PKWY SE STE 201, GAINESVILLE, GA 30501-3804
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
11107
GA
Other
Enumeration date
07/15/2022
Last updated
08/01/2022
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