Individual
ALLISON CULBRETH CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1731 WELLS RD STE 120, ORANGE PARK, FL 32073-2322
(904) 376-4910
(904) 390-7547
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME111797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004421900
—
FL
01
—
14J6S
BCBS-FL
FL
Enumeration date
05/29/2008
Last updated
12/24/2025
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