Provider Demographics
NPI:1477138501
Name:TRAN, TONY N (MD)
Entity Type:Individual
Prefix:
First Name:TONY
Middle Name:N
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 WESTHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-6181
Mailing Address - Country:US
Mailing Address - Phone:770-539-4706
Mailing Address - Fax:
Practice Address - Street 1:USS ASHLAND LSD 48
Practice Address - Street 2:UNIT 100147
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96660
Practice Address - Country:US
Practice Address - Phone:770-539-4706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-10
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program