Individual
MR. GERALD B CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4100 WAKE FOREST RD, RALEIGH, NC 27609-6227
(919) 872-3959
Mailing address
4100 WAKE FOREST RD, RALEIGH, NC 27609-6227
(919) 872-3959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
104055
NC
Other
Enumeration date
07/31/2006
Last updated
03/12/2025
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