Search › Georgia › 363LG0600X
Kristti Lei Tan, AGNP-BC
NPI 1679175236 · on the registry since 2020
Practice
- Address
- 4645 Timber Ridge Dr Ste 100
Douglasville, GA 30135 - Phone
- (678) 702-3376
- Organisation at this address
- Georgia Urology Pa
Douglas County Dialysis, Llc
Douglas Dermatology And Skin Cancer Specialists LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 363LG0600X
363LG0600X
- Also registered as
- 363LA2200X
363LA2200X - Licence states on file
- TX, TN, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-16
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