Individual
ERIC CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
61 WHITCHER ST NE STE 2120, MARIETTA, GA 30060-1180
(770) 544-1145
(770) 544-1146
Mailing address
61 WHITCHER ST NE STE 2120, MARIETTA, GA 30060-1180
(770) 544-1145
(770) 544-1146
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
96
GA
224P00000X
Prosthetist
Primary
96
GA
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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