WAYNE FAI CHAN

JACKSON, MS
NPI1043233810
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0001X 
(Licence: MS  18104)
Additional Taxonomies2085R0001X 
(Licence: CA  A60276)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
-- WAYNE FAI CHAN MD
1500 E WOODROW WILSON AVE RADIATION THERAPY
JACKSON, MS 39216-5116
Phone number: 601-362-4471
Mailing Address
-- WAYNE FAI CHAN MD
51 NORTHTOWN DR 19E
JACKSON, MS 39211-3600
Phone number: 610-362-4471
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