Individual
DR. VICTOR W CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
460 NORTHSIDE CHEROKEE BLVD STE 300, CANTON, GA 30115-8019
(770) 721-9630
(770) 721-9631
Mailing address
320 HOSPITAL RD, CANTON, GA 30114-2432
(770) 479-5535
(770) 720-3294
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200401183
NC
207RP1001X
Pulmonary Disease Physician
057589
GA
207RR0500X
Rheumatology Physician
Primary
057589
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89137V8
—
NC
Enumeration date
05/23/2005
Last updated
03/10/2021
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