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NPI Code Detail

MEDICARE: DR. WESLEY CHAY M.D.

MEDICARE: DR. WESLEY CHAY M.D.
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
1208100000XPhysical Medicine & Rehabilitation PhysicianMD445764PA
2208100000XPhysical Medicine & Rehabilitation Physician077574GA
3207R00000XInternal Medicine PhysicianTRN11514FL

General Provider Information

NPI Number : 1871790394
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WESLEY CHAY M.D.
Provider Business Mailing Address
First Line : 2020 PEACHTREE RD NW
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1465
Country : US
Telephone Number : 404-350-3074
Fax Number : 404-350-7381
Provider Business Practice Location Address
First Line : 2020 PEACHTREE RD NW
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1465
Country : US
Telephone Number : 404-352-2020
Fax Number : 404-350-7381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2007
Last Update Date : 01/15/2019

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