Chamblee Children'S Clinic , P.C.

Organization Active NPI Pediatrics Physician · Chamblee, GA

NPI 1114698933 · NPPES record last updated Sep 27, 2021

Key facts

NPI
1114698933
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
CHAMBLEE CHILDREN'S CLINIC , P.C.
Practice address
3337 Chamblee Dunwoody Rd
Chamblee, GA 30341-2816
Phone
(770) 457-3303
Fax
(770) 457-3316
NPI assigned
Sep 22, 2021
Organization subpart
No

Authorized official

Name
Jiong Fan, MD
Title
MD
Phone
(770) 457-3303

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

3337 Chamblee Dunwoody Rd
Chamblee, GA 30341
Phone (770) 457-3303

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X Yes

Addresses

Primary practice location

3337 Chamblee Dunwoody Rd
Chamblee, GA 30341-2816

Mailing address

3337 Chamblee Dunwoody Rd
Chamblee, GA 30341-2816
Phone (770) 457-3303

Other providers in Chamblee, GA

All providers in Chamblee, GA · Pediatrics Physician in Georgia

Sources for this page

Verify at the official NPI Registry.