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Individual

CHENG TAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
332 LUKE MEADOW LN, CARY, NC 27519-8719
(812) 325-2539
Mailing address
332 LUKE MEADOW LN, CARY, NC 27519-8719

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
332082
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
7526
NC

Other

Enumeration date
08/26/2021
Last updated
08/06/2025
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