Individual
GILBERT CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 EXECUTIVE PARK DR NE STE 10, ATLANTA, GA 30329-2224
(404) 321-9900
(404) 321-4460
Mailing address
6 EXECUTIVE PARK DR NE STE 10, ATLANTA, GA 30329-2224
(404) 321-9900
(404) 321-4460
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
79407
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201033400
—
IN
05
—
7100172640
—
KY
Enumeration date
07/25/2008
Last updated
03/06/2019
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