Individual
DR. GARY CHI-HUNG CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15 REINHARDT COLLEGE PKWY STE 110A, CANTON, GA 30114-5257
(770) 720-2383
(833) 605-3236
Mailing address
15 REINHARDT COLLEGE PKWY STE 110A, CANTON, GA 30114-5257
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
99861
GA
207RC0000X
Cardiovascular Disease Physician
Primary
99861
GA
207RC0000X
Cardiovascular Disease Physician
DO-05713
IA
Other
Enumeration date
05/27/2015
Last updated
01/09/2025
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