Individual
DR. WESLEY CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MSC
Contact information
Practice address
1365 CLIFTON RD NE # B, ATLANTA, GA 30322-1013
(404) 778-5158
Mailing address
531 LADSON CT, DECATUR, GA 30033-5380
Taxonomy
Speciality
Code
Description
License number
State
207WX0109X
Neuro-ophthalmology Physician
Primary
12598
GA
Other
Enumeration date
09/19/2020
Last updated
09/19/2020
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