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Individual

DR. WILLIE Y.W. CHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
046583
GA
207W00000X
Ophthalmology Physician
Primary
046583
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000841321C
GA
01
08NONE
UNITED HEALTHCARE
GA
01
100480
COVENTERY HEALTHCARE
GA
01
52781137
BCBS OF GA
GA
01
5489692
AETNA
GA
Enumeration date
09/21/2005
Last updated
03/04/2013
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