Individual
WILLIAM FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3635 PEACHTREE INDUSTRIAL BLVD, SUITE 500, DULUTH, GA 30096-2806
(770) 813-1333
Mailing address
3635 PEACHTREE INDUSTRIAL BLVD, SUITE 500, DULUTH, GA 30096-2806
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006032
GA
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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