Tony Tan
Internal Medicine in Atlanta, GA. Individual provider (NPI-1).
NPI number1982136917
StatusActive
Last updated in NPPESJan 7, 2022
Details
- NPI
- 1982136917
- Entity type
- Individual (NPI-1)
- Name
- Tony Tan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2017
- Certification date
- Jun 22, 2020
- Last updated
- Jan 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 86117 | GA | Yes |
Practice location
3495 Piedmont Rd NeAtlanta, GA 30305-1717
Phone 404-467-6278
Mailing address
3595 Olentangy River RdColumbus, OH 43214-3440
Phone 614-566-5456 · Fax 614-566-6902
Other practice locations
3595 Olentangy River Rd
Columbus, OH 43214-3440
Columbus, OH 43214-3440
Phone 614-566-5456 · Fax 614-566-6902
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