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MR. SHAN CHAUDHRY ATC

Sports Medicine >> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1427405281

Individual Registrant:
MR. SHAN  CHAUDHRY ATC
Gender: M
Sole Proprietor

Location and contact information for practice:
1800 LAKEWOOD DR APT S4 PHENIX CITY, AL 36867-1867 US
Tel: 570-730-8182  Fax: --

Contact information for business:
1800 LAKEWOOD DR APT S4 PHENIX CITY, AL 36867-1867 US
Tel: 570-730-8182  Fax: --

Registration Information:
NPI: 1427405281
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207PS0010XAllopathic & Osteopathic Physicians
Emergency Medicine
Sports Medicine
GAAT002858

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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