Provider Demographics
NPI:1356799043
Name:TIAN, IRIS X (DO)
Entity type:Individual
Prefix:DR
First Name:IRIS
Middle Name:X
Last Name:TIAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 HAMMOND DR, BLDG 16
Mailing Address - Street 2:STE 280
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328
Mailing Address - Country:US
Mailing Address - Phone:470-570-4341
Mailing Address - Fax:404-446-4136
Practice Address - Street 1:750 HAMMOND DR, BLDG 16
Practice Address - Street 2:STE 280
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328
Practice Address - Country:US
Practice Address - Phone:470-570-4341
Practice Address - Fax:404-446-4136
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA99722208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation