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1033168919
MIN JIE TAN
LILBURN, GA
NPI
1033168919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 041492)
Enumeration Date
2006-05-09
Last Update Date
2014-04-18
Business Address
-- MIN JIE TAN MD
455 BEAVER RUIN RD NW
LILBURN, GA 30047-3413
Phone number: 770-923-7778
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Mailing Address
-- MIN JIE TAN MD
475 PHILIP BLVD STE 100
LAWRENCEVILLE, GA 30046
Phone number: 770-995-3300
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