Wayne Chan (NPI# 1669612727, PAC ID# 8527315456) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
Nation Provider ID (NPI) | 1669612727 |
PAC ID by PECOS | 8527315456 |
Professional Enrollment ID | I20180723002906 |
Full Name | Wayne Chan |
Organization Legal Name | DISCOVERY COUNSELING AND ASSESSMENT CENTER, LLC |
Address |
820 Ebenezer Church Rd Suite 110 Sharpsburg GA 30277-2073 |
Phone Number | 4049601282 |
Gender | M |
Graduation Year | 2013 |
Primary Specialty | CLINICAL PSYCHOLOGIST |
Group Practice PAC ID | 5092014175 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
820 Ebenezer Church Rd, Suite 110, Sharpsburg, GA 30277-2073 | 4049601282 | DISCOVERY COUNSELING AND ASSESSMENT CENTER, LLC |
420 Thomaston St, Zebulon, GA 30295-3387 | 4049601282 | DISCOVERY COUNSELING AND ASSESSMENT CENTER, LLC |
Organization Legal Name | DISCOVERY COUNSELING AND ASSESSMENT CENTER, LLC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bruce Nicholas Grant | Psychologist, Clinical | Discovery Counseling and Assessment Center, LLC | 420 Thomaston St, Zebulon, GA 30295-3387 |
Liberty Ann Mcclead | Clinical Social Worker | Discovery Counseling and Assessment Center, LLC | 820 Ebenezer Church Rd, Suite 110, Sharpsburg, GA 30277-2073 |
Danielle Justine Guild | Psychologist, Clinical | Discovery Counseling and Assessment Center, LLC | 820 Ebenezer Church Rd, Suite 110, Sharpsburg, GA 30277-2073 |
Street Address |
820 EBENEZER CHURCH RD SUITE 110 |
City | SHARPSBURG |
State | GA |
Zip | 30277-2073 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy Hara Hirsh | Allergy/immunology | Peachtree Allergy and Asthma Clinic PC | 820 Ebenezer Church Rd, Suite 101, Sharpsburg, GA 30277-2073 |
Liberty Ann Mcclead | Clinical Social Worker | Discovery Counseling and Assessment Center, LLC | 820 Ebenezer Church Rd, Suite 110, Sharpsburg, GA 30277-2073 |
Danielle Justine Guild | Psychologist, Clinical | Discovery Counseling and Assessment Center, LLC | 820 Ebenezer Church Rd, Suite 110, Sharpsburg, GA 30277-2073 |
Carol A Wiggins | Allergy/immunology | Peachtree Allergy and Asthma Clinic PC | 820 Ebenezer Church Rd, Suite 101, Sharpsburg, GA 30277-2073 |
Umbreen S Lodi | Allergy/immunology | Peachtree Allergy and Asthma Clinic PC | 820 Ebenezer Church Rd, Suite 101, Sharpsburg, GA 30277-2073 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charles L Mccord | Obstetrics/gynecology | 3345 E Hwy 34, Suite 102, Sharpsburg, GA 30277-3563 | |
Samir Kishor Hajariwala | Chiropractic | 3339 Hwy 34 E, Suite C, Sharpsburg, GA 30277-3565 | |
Matthew Park Davis | Chiropractic | 3339 Hwy 34 E, Suite C, Sharpsburg, GA 30277-3565 | |
Kathy J Aliffi | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 20 Francis Way, Suite 101, Sharpsburg, GA 30277-3589 |
Fe Socorro D Velez | Physical Therapy | Neuromotion Physical Therapy | 15 Thomas Grace Annex Ln, Suite 100, Sharpsburg, GA 30277-3653 |
Paulette L Lewis | Physical Therapy | Neuromotion Physical Therapy | 15 Thomas Grace Annex Ln, Suite 100, Sharpsburg, GA 30277-3653 |
Laura H Wilkinson | Occupational Therapy | Neuromotion Physical Therapy | 15 Thomas Grace Annex Ln, Suite 100, Sharpsburg, GA 30277-3653 |
Suzetta T Brazile | Occupational Therapy | Neuromotion Physical Therapy | 15 Thomas Grace Annex Ln, Suite 100, Sharpsburg, GA 30277-3653 |
Christopher W Odom | Chiropractic | 15 Thomas Grace Annex Ln, Suite 450, Sharpsburg, GA 30277-3654 |
City | SHARPSBURG |
Zip Code | 30277 |
Specialty | CLINICAL PSYCHOLOGIST |
City + Specialty | SHARPSBURG + CLINICAL PSYCHOLOGIST |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.