Individual provider · NPI-1

Dr. Chuan Frances Fan, MD

Psychiatry & Neurology, Vascular Neurology · Marietta, GA

NPI number1306257308

StatusActive

Last updated in NPPESOct 1, 2020

Details

NPI: 1306257308
Entity type: Individual (NPI-1)
Name: Dr. Chuan Frances Fan
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: May 13, 2014
Certification date: Oct 1, 2020
Last updated: Oct 1, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084V0102X	Psychiatry & Neurology, Vascular Neurology	86632	GA	Yes
2084N0400X	Psychiatry & Neurology, Neurology	A149716	CA
2084V0102X	Psychiatry & Neurology, Vascular Neurology	A149716	CA

Practice location

677 Church St Ne
Marietta, GA 30060-1101

Phone 770-793-5000

Mailing address

677 Church St Ne
Marietta, GA 30060-1101

Is something wrong?

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.