Individual
DR. YIESHAN MELISSA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-4775
(601) 984-6451
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 851-5477
(601) 984-6451
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301090983
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04778891
—
MS
05
—
2366653
—
LA
Enumeration date
08/10/2007
Last updated
07/09/2014
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