William Fan, | |
3635 Peachtree Industrial Blvd, Suite 500, Duluth, GA 30096-2806 | |
(770) 813-1333 | |
Not Available |
Full Name | William Fan |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 3635 Peachtree Industrial Blvd, Duluth, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639299662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 006032 (Georgia) | Primary |
Mailing Address | Practice Location Address |
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William Fan, 3635 Peachtree Industrial Blvd, Suite 500, Duluth, GA 30096-2806 Ph: () - | William Fan, 3635 Peachtree Industrial Blvd, Suite 500, Duluth, GA 30096-2806 Ph: (770) 813-1333 |
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