MEDICARE: DR. THUY TRANG THI TRAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath
2	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1942052485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THUY TRANG THI TRAN

Provider Business Mailing Address
First Line	:	2545 NAZ CT
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30066-4383
Country	:	US
Telephone Number	:	678-636-9568
Fax Number	:

Provider Business Practice Location Address
First Line	:	3829 ROSWELL RD
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-6236
Country	:	US
Telephone Number	:	678-636-9568
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2024
Last Update Date	:	04/05/2024

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