NPI 1255960860

Khea Marie Tan

Practitioner Transplant Surgery Physician Atlanta, GA

Practice location

Address: 101 Woodruff Circle Wmb Suite 51505, Atlanta, GA 30322-4859
Phone: (855) 366-7989
Mailing address: 5 Anderson CT, Sayreville, NJ 08872-1000

Registered specialties (2)

Transplant Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204F00000X Licence 102988 (GA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1255960860
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Apr 2020
Record last updated: 11 Feb 2025

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.