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Miguel Tan, MD
Transplant Surgery Physician in Atlanta, Georgia
NPI 1770518573

Miguel Tan is a Transplant Surgery Physician based in Atlanta, GA. Miguel Tan practices in Atlanta, GA and has the professional credentials of MD. The NPI Number for Miguel Tan is 1770518573 and holds a License No. 060198 (Georgia).

The current practice location address for Miguel Tan is 1968 Peachtree Rd Nw, Atlanta, GA and can be reached out via phone at 404-605-4929. You can also correspond with Miguel Tan through the mailing address at 1968 PEACHTREE RD NW, ATLANTA, GA - 30309-1281 (mailing address contact number: 404-605-4929).

Location: 1968 Peachtree Rd Nw, Atlanta, GA, 30309-1281
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Provider Profile Details
NPI Number
1770518573
Provider Name
Miguel Tan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1968 Peachtree Rd Nw, Atlanta, GA, 30309-1281
Phone Number
404-605-4929
Fax Number
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
I42728 01 UPIN
023084170A 05 GA
institution
Provider Business Practice Location Address Details
Address
1968 Peachtree Rd Nw
City
State
Zip
30309-1281
Phone Number
404-605-4929
Fax Number
person
Provider Business Mailing Address Details
Address
1968 Peachtree Rd Nw
City
State
Zip
30309-1281
Phone Number
404-605-4929
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Transplant Surgery
Speciality
-
Taxonomy
License No.
060198 (Georgia)
Definition
Definition to come.
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