Individual
WAYNE FAI CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E WOODROW WILSON AVE, RADIATION THERAPY, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-1588
Mailing address
51 NORTHTOWN DR, 19E, JACKSON, MS 39211-3600
(610) 362-4471
(601) 364-1588
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
18104
MS
2085R0001X
Radiation Oncology Physician
A60276
CA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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