Whalio Doctors

NPI 1003366873

Minh Lam Tang, PAA

Practitioner Anesthesiologist Assistant Jonesboro, GA

Practice location

Address
7813 Spivey Station Blvd, Jonesboro, GA 30236
Phone
(404) 778-8311
Mailing address
4246 Cheryl Ann CT, Stone Mountain, GA 30083-4201

Registered specialties

Anesthesiologist Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 008095 (GA)

Registry record

NPI
1003366873
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Oct 2016
Record last updated
17 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.