Individual
ANSON CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 HERRELL RD, VILLA RICA, GA 30180-5527
(770) 812-3283
Mailing address
96 WELLINGTON WALK, DOUGLASVILLE, GA 30134-6364
(786) 916-1537
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP309560
GA
Other
Enumeration date
03/27/2025
Last updated
10/10/2025
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