Individual
MR. DOUGLAS CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3520 PIEDMONT RD NE, ATLANTA, GA 30305-1516
(404) 351-2008
Mailing address
579 N SUPERIOR AVE, DECATUR, GA 30033-5401
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
96215
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
07/19/2011
Last updated
08/30/2023
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