Individual
DR. SIBO TIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 WOODRUFF CIR NE, SUITE 327 SCHOOL OF MEDICINE BUILDING, ATLANTA, GA 30322-1020
(404) 727-5658
(404) 727-3744
Mailing address
100 WOODRUFF CIR NE, SUITE 327 SCHOOL OF MEDICINE BUILDING, ATLANTA, GA 30322-1020
(404) 727-5658
(404) 727-3744
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
007978
GA
390200000X
Student in an Organized Health Care Education/Training Program
T40137090011872
NJ
Other
Enumeration date
04/01/2015
Last updated
04/18/2016
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