Individual
YONG TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2055 E SOUTH BLVD STE 603, MONTGOMERY, AL 36116-2014
(334) 747-8800
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD.34915
AL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
34915
AL
Other
Enumeration date
04/23/2014
Last updated
10/01/2024
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