Individual
JACK P CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD STE 880, ATLANTA, GA 30342-4789
(404) 256-2525
(404) 256-9589
Mailing address
5670 PEACHTREE DUNWOODY RD, STE 880, ATLANTA, GA 30342-4789
(404) 256-2525
(404) 256-9589
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
040031
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000659788B
—
GA
Enumeration date
09/09/2005
Last updated
10/28/2020
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