Female

Allison C. Chan MD

Internal Medicine Physician in Orange Park, FL(View on Map)

Full Name

Allison Culbreth Chan MD

NPI Number

1841458668

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/29/2008

Specialties

(Taxonomies)

Code

207R00000X
208M00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

ME111797

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 746638
1731 WELLS RD STE 120

City

Atlanta
Orange Park

State

GA
FL

Postal Code

30374-6638
32073-2322

Country

US
US

Telephone Number

(904) 202-1032
(904) 376-4910

Identifiers

Identifier

004421900
14J6S

Identifier State

FL
FL

Identifier Issuer

Unknown
BCBS-FL

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/01/2024

Provider Address

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