Individual
CHRISTOPHER CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4550 COBB PARKWAY NORTH NW STE 210, ACWORTH, GA 30101-4182
(770) 422-1372
(470) 956-8405
Mailing address
4550 COBB PARKWAY NORTH NW STE 210, ACWORTH, GA 30101-4182
(770) 422-1372
(470) 956-8405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04315
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
88978
GA
207RP1001X
Pulmonary Disease Physician
Primary
88978
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
09/09/2021
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