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Organization

CHAMBLEE CHILDREN'S CLINIC , P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIONG FAN MD (MD)
(770) 457-3303
Entity
Organization

Contact information

Practice address
3337 CHAMBLEE DUNWOODY RD, CHAMBLEE, GA 30341-2816
(770) 457-3303
(770) 457-3316
Mailing address
3337 CHAMBLEE DUNWOODY RD, CHAMBLEE, GA 30341-2816
(770) 457-3303
(770) 457-3316

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
09/22/2021
Last updated
09/27/2021
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