Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 75692 | GA |
NPI | 1023300266 |
---|---|
Provider Name | David Tran |
First Address | Alpharetta, GA 30005-4477 |
Second Address | Alpharetta, GA 30005-4477 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2011 |
Last Update Date | 20/09/2021 |