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NPI Code Detail

MEDICARE: GREGORY S MCHAN MD

MEDICARE:   GREGORY S MCHAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician34654GA

General Provider Information

NPI Number : 1770564056
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY S MCHAN MD
Provider Business Mailing Address
First Line : 165 BLUE RIDGE OVERLOOK
Second Line :
City : BLUE RIDGE
State : GA
Zip : 30513-4431
Country : US
Telephone Number : 706-946-5608
Fax Number : 706-374-7628
Provider Business Practice Location Address
First Line : 165 BLUE RIDGE OVERLOOK
Second Line :
City : BLUE RIDGE
State : GA
Zip : 30513-4431
Country : US
Telephone Number : 706-946-4647
Fax Number : 706-374-5006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 11/04/2021

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Directions to “ GREGORY S MCHAN MD” Practice Location

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