Individual
CRYSTAL CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
484 MORELAND AVE NE STE D, ATLANTA, GA 30307-3421
(404) 737-2020
Mailing address
665 AUBURN AVE NE UNIT 612, ATLANTA, GA 30312-2662
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2418DT
KY
152W00000X
Optometrist
Primary
OPT003708
GA
Other
Enumeration date
02/19/2024
Last updated
06/15/2026
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