Jing Chan
Technician/Technologist in Duluth, GA. Individual provider (NPI-1).
NPI number1194351684
StatusActive
Last updated in NPPESFeb 2, 2021
Details
- NPI
- 1194351684
- Entity type
- Individual (NPI-1)
- Name
- Jing Chan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2020
- Certification date
- Feb 2, 2021
- Last updated
- Feb 2, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | – | – | Yes |
Practice location
3655 Howell Ferry RdDuluth, GA 30096-3186
Phone 770-790-5437
Mailing address
32100 Telegraph RdBingham Farms, MI 48025-2452
Phone 248-712-4266
Other practice locations
2429 Cascade Cove Dr
Buford, GA 30519-7939
Buford, GA 30519-7939
Phone 678-617-2355
3675 Crestwood Pkwy Nw Ste 427
Duluth, GA 30096-5135
Duluth, GA 30096-5135
Phone 800-920-1927
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Technician/Technologist providers in Duluth · All 2,604 providers in Duluth
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