Individual
JING CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3655 HOWELL FERRY RD, DULUTH, GA 30096-3186
(770) 790-5437
Mailing address
32100 TELEGRAPH RD, BINGHAM FARMS, MI 48025-2452
(248) 712-4266
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
02/02/2021
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