Healthcare Provider Details

I. General information

NPI: 1982282430
Provider Name (Legal Business Name): FRANK CHEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 CHURCH STREET ATTN: GME
MARIETTA GA
30060
US

IV. Provider business mailing address

677 CHURCH STREET ATTN: GME
MARIETTA GA
30060
US

V. Phone/Fax

Practice location:
  • Phone: 770-793-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberW4071
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: