Provider Demographics
NPI:1982689279
Name:TAN, JEAN LIM (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:LIM
Last Name:TAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:125 COOL SPRINGS BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2830
Mailing Address - Country:US
Mailing Address - Phone:615-771-8549
Mailing Address - Fax:615-771-8551
Practice Address - Street 1:125 COOL SPRINGS BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2830
Practice Address - Country:US
Practice Address - Phone:615-771-8549
Practice Address - Fax:615-771-8551
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TN35837207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3375057Medicaid
TNG35476Medicare UPIN
TN3375057Medicaid