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NPI Code Detail

MEDICARE: KRISTINE TRAN

MEDICARE: KRISTINE 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
1390200000XStudent in an Organized Health Care Education/Training Program
2367H00000XAnesthesiologist Assistant11411GA

General Provider Information

NPI Number : 1669051330
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE TRAN
Provider Business Mailing Address
First Line : 57 EXECUTIVE PARK S STE 300
Second Line :
City : ATLANTA
State : GA
Zip : 30329-2287
Country : US
Telephone Number : 404-727-5910
Fax Number :
Provider Business Practice Location Address
First Line : 57 EXECUTIVE PARK S STE 300
Second Line :
City : ATLANTA
State : GA
Zip : 30329-2287
Country : US
Telephone Number : 404-727-5910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2021
Last Update Date : 04/15/2024

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Directions to “ KRISTINE TRAN ” Practice Location

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