Search › Georgia › 207R00000X
Min Jie Tan, MD
NPI 1033168919 · on the registry since 2006
Practice
- Address
- 455 Beaver Ruin Rd Nw
Lilburn, GA 30047 - Phone
- (770) 923-7778
- Fax
- (770) 923-0180
- Organisation at this address
- Gwinnett Clinic, Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia