Ma, Tian

Ma, Tian is an individual health care provider with primary practice located at 450 Northside Cherokee Blvd , Canton GA 30115-8015. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Ma, Tian can be contacted via phone (770) 224-1000.

Contact Information

Primary practice address
450 Northside Cherokee Blvd Canton GA 30115-8015
Phone: (770) 224-1000
Fax: (770) 224-2451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 068238 Georgia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 068238 Georgia

Profile Details

NPI number 1912131616
LBN Legal business name Ma, Tian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2009
Last updated Mar 7th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912131616 NPPES
Georgia MEDICAID 003127560A

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