PAUL H. CHAN MD PC NPI 1114113578

NPI Information

PAUL H. CHAN MD PC is a primary care clinic center in Dothan, AL. PAUL H. CHAN MD PC NPI is 1114113578. The provider is registered as an organization entity type.

The provider's business location address is:

1800 FAIRVIEW AVE
SUITE 2
DOTHAN, AL
ZIP 36301-058
Phone: (334) 678-1400
Fax: (334) 678-1432

The provider's authorized official is Glenda A Jones .
The authorized official title is Office Manager and has the following contact phone number (334) 678-1400.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 12/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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