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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CORAZON CABRERA TAN, MD

Active

DR. CORAZON CABRERA TAN, MD is a Family Medicine healthcare provider located in ROSWELL, Georgia. NPI 1417064510 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ROSWELL, GA

Registration Details

NPI Number
1417064510
Provider Type
Individual
Gender
Female
NPI Issued
Aug 24, 2006 (19.948989760531 yrs)
Last Updated
Sep 26, 2012
Licenses
48566 (WI)
036662 (GA)

Practice Information

Address
880 HOLCOMB BRIDGE RD
SUITE 150-B
ROSWELL, GA, 300761969
Browse GA providers · Browse ZIP 30076
Phone
7709980605
Fax
7705873528
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in ROSWELL, GA

Name Credential NPI
AMY L BARFIELD M.D. 1003808619
MR. ANTHONY DWAYNE MILLS M.D. 1265478234
MS. SUZANNE JEANNETTE FERREE MD 1023045663
TERRA MCDONALD BOWERS P.A. 1043248750
DR. ANILA QIDWAI MD 1982614665
CLAUDIA J VELLOZZI MD 1285730176
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.