Healthcare Provider Details

I. General information

NPI: 1003441825
Provider Name (Legal Business Name): DANIEL GUAGLIARDI CHEN MD, MPH&TM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2020
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE EMORY CLINIC 1365 CLIFTON ROAD 4TH FLOOR
ATLANTA GA
30322-0001
US

IV. Provider business mailing address

1081 JUNIPER ST NE APT 2614
ATLANTA GA
30309-5285
US

V. Phone/Fax

Practice location:
  • Phone: 510-585-5481
  • Fax:
Mailing address:
  • Phone: 510-585-5481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number109991
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: