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Contact Information

WAYNE F CHAN, MD
1500 E WOODROW WILSON AVE
RADIATION THERAPY
JACKSON, MS39216-5116
 Phone: 601-362-4471
 Fax: 601-364-1588
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for WAYNE F CHAN · (Male)

NPI Number 1043233810
Status Active
Credentials MD
Entity Individual
Enumeration date 07/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A60276
  • MS License # 18104
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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