Provider Demographics
NPI:1003043324
Name:CHEN, YEN-I GRACE (MD)
Entity Type:Individual
Prefix:DR
First Name:YEN-I
Middle Name:GRACE
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1010 JOHNSON FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-2108
Mailing Address - Country:US
Mailing Address - Phone:770-579-7900
Mailing Address - Fax:770-579-7942
Practice Address - Street 1:1010 JOHNSON FERRY RD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-2108
Practice Address - Country:US
Practice Address - Phone:770-579-7900
Practice Address - Fax:770-579-7942
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA78611207Q00000X
GA078611207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine