Search › Georgia › 208M00000X
Tina Phan, MD
NPI 1194354696 · on the registry since 2020
Practice
- Address
- 80 Jesse Hill Jr Dr Se
Atlanta, GA 30303 - Phone
- (404) 616-1000
- Organisation at this address
- Grady Hospital
One Grady, Llc
Grady Health System
Grady Health System
Grady Health SystemInferred from a shared address, not stated in the registry. - Clinicians at this address
- 885
Additional practice sites
- 2220 N Druid Hills Rd Ne, Atlanta, GA
Registry record
- Primary taxonomy
- 208M00000X
208M00000X
- Also registered as
- 208M00000X
207R00000X
207Q00000X
208000000X
208000000X - Licence states on file
- PA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia