Individual
DR. NANCY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 532-7179
(770) 534-1312
Mailing address
PO BOX 1076, GAINESVILLE, GA 30503-1076
(770) 532-7179
(770) 534-1312
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
50872
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000969592B
—
GA
01
—
P0027702
RAILROAD MEDICARE ID#
GA
Enumeration date
05/12/2006
Last updated
03/28/2012
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