Individual
BARRY B.K. CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S HERLONG AVE STE B, ROCK HILL, SC 29732
(803) 324-1950
(803) 324-1933
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5100
(704) 316-5101
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
28435
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
9600879
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8921992
—
NC
05
—
N00879
—
SC
Enumeration date
11/28/2005
Last updated
05/14/2019
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