Individual
THOMAS TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
450 14TH ST NW, ATLANTA, GA 30318-7963
(404) 480-9797
Mailing address
590 LANIER AVE W, FAYETTEVILLE, GA 30214-1504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11775
GA
Other
Enumeration date
02/02/2018
Last updated
04/02/2025
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