Individual
PETER QIANG CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1000 CORPORATE CENTER DR, STE 100, MORROW, GA 30260-4180
(770) 968-8888
(770) 960-2473
Mailing address
1000 CORPORATE CENTER DR, STE 100, MORROW, GA 30260-4180
(770) 968-8888
(770) 960-2473
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002188
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609903397A
—
GA
01
—
C16012
RAILROAD MEDICARE
GA
Enumeration date
09/13/2005
Last updated
09/26/2016
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