Provider Demographics
NPI:1750330536
Name:HTWE, TINT (MD)
Entity Type:Individual
Prefix:DR
First Name:TINT
Middle Name:
Last Name:HTWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:475 PHILIP BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-8737
Mailing Address - Country:US
Mailing Address - Phone:770-995-3300
Mailing Address - Fax:770-995-3307
Practice Address - Street 1:475 PHILIP BLVD
Practice Address - Street 2:STE 100
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046
Practice Address - Country:US
Practice Address - Phone:770-995-3300
Practice Address - Fax:770-995-3307
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA045246207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAG72854Medicare UPIN
GA11BDNXXMedicare PIN