Individual
TONY TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
(404) 467-6278
Mailing address
3595 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3440
(614) 566-5456
(614) 566-6902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
86117
GA
Other
Enumeration date
03/29/2017
Last updated
01/07/2022
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