Individual
NANCY CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(470) 732-4000
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
(770) 792-5451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4155
WI
363A00000X
Physician Assistant
Primary
7789
GA
Other
Enumeration date
02/15/2016
Last updated
03/02/2021
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