Individual
DR. PAUL H CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 FAIRVIEW AVE, SUITE 2, DOTHAN, AL 36301-3058
(334) 678-1400
(334) 678-1432
Mailing address
PO BOX 1525, DOTHAN, AL 36302-1525
(334) 678-1400
(334) 678-1432
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13615
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529913350
—
AL
01
—
DE5059
RRMC
AL
Enumeration date
06/20/2005
Last updated
01/15/2015
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