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Dr. Shaozhou Ken Tian, MD
Student in an Organized Health Care Education/Training Program in Clemmons, North Carolina
NPI 1285954040

Shaozhou Ken Tian is a Student in an Organized Health Care Education/Training Program based in Clemmons, NC. Shaozhou Ken Tian practices in Clemmons, NC and has the professional credentials of MD. The NPI Number for Shaozhou Ken Tian is 1285954040 and holds a License No. (North Carolina).

The current practice location address for Shaozhou Ken Tian is 6435 River Crest Dr, Clemmons, NC and can be reached out via phone at 501-804-3545.

Location: 6435 River Crest Dr, Clemmons, NC, 27012-7295
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285954040
Provider Name
Shaozhou Ken Tian
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6435 River Crest Dr, Clemmons, NC, 27012-7295
Phone Number
501-804-3545
Fax Number
Provider Enumeration Date
06/03/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6435 River Crest Dr
City
Clemmons
State
North Carolina
Zip
27012-7295
Phone Number
501-804-3545
Fax Number
person
Provider Business Mailing Address Details
Address
6435 River Crest Dr
City
Clemmons
State
North Carolina
Zip
27012-7295
Phone Number
501-804-3545
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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