Mike Y. Tan, M.d.p.c.

NPI #1558513184 in Jonesboro, Georgia

Provider Information

NPI Number
1558513184
Entity Type
Organization
Organization Name
Mike Y. Tan, M.d.p.c.
Primary Specialty
Case Management
Enumeration Date
Oct 14, 2008
Last Updated
Oct 14, 2008

Practice Location

Address
6911 TARA BLVD
Address 2
SUITE 111
State
Georgia
ZIP Code
30236-1503
Phone
(770) 478-2057

Authorized Official

Name
DR. MIKE YAP TAN, M.D.
Title
PRESIDENT/CEO
Phone
(770) 478-2057

Specialties & Taxonomy Codes

Specialty
Case Management

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