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Contact Information

SAMUEL N CHAN, MD
211 MOUNTAIN CREEK WAY
ELLIJAY, GA30536
 Phone: 936-270-9263
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SAMUEL N CHAN · (Male)

NPI Number 1528011889
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2006
Last updated 09/23/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 046944
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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