Individual
DR. WILLIE Y.W. CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5825 BUFORD HWY, STE 100, NORCROSS, GA 30071
(770) 448-5587
(770) 448-4086
Mailing address
5825 BUFORD HWY, STE 100, NORCROSS, GA 30071
(770) 448-5587
(770) 448-4086
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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