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J. Jack Chan, DO
Obstetrics & Gynecology Physician in Athens, Ohio
NPI 1053314245

J. Jack Chan is a Obstetrics & Gynecology Physician based in Athens, OH. J. Jack Chan practices in Athens, OH and has the professional credentials of DO. The NPI Number for J. Jack Chan is 1053314245 and holds a License No. 34005890 (Ohio).

The current practice location address for J. Jack Chan is 86 Columbus Rd, Athens, OH and can be reached out via phone at 740-594-2624 and via fax at 740-594-7333.

Location: 86 Columbus Rd, Athens, OH, 45701-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053314245
Provider Name
J. Jack Chan
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
86 Columbus Rd, Athens, OH, 45701-1300
Phone Number
740-594-2624
Fax Number
740-594-7333
Provider Enumeration Date
05/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0956881 05 OH
institution
Provider Business Practice Location Address Details
Address
86 Columbus Rd
City
Athens
State
Ohio
Zip
45701-1331
Phone Number
740-594-2624
Fax Number
740-594-7333
person
Provider Business Mailing Address Details
Address
86 Columbus Rd
City
Athens
State
Ohio
Zip
45701-1331
Phone Number
740-594-2624
Fax Number
740-594-7333
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
34005890 (Ohio)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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