Most Relevant Information
Provider Data
| NPI Number: | 1003366873 |
| Provider Name: | MINH LAM TANG PAA |
| Entity Type: | Individual |
| Taxonomy Code: | 367H00000X |
| Specialty: | Anesthesiologist Assistant |
| License Number: | 008095 |
Most Important Dates
| Enumeration Date: | 10/05/2016 |
| Last Updated: | 05/17/2018 |
Provider Practice Location
7813 SPIVEY STATION BLVD
JONESBORO
GA
30236
Practice Location Phone/Fax
| Phone: | 4047788311 |
| Fax: |
Provider Mailing Location
4246 CHERYL ANN CT
STONE MOUNTAIN
GA
300834201
Provider Mailing Phone/Fax
| Phone: | 6782960410 |
| Fax: | 7704782908 |