Provider Demographics
NPI:1558421586
Name:CHEN, ER-WEI (MD)
Entity Type:Individual
Prefix:DR
First Name:ER-WEI
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3997 LAWRENCEVILLE HWY NW STE B-235
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-2832
Mailing Address - Country:US
Mailing Address - Phone:770-381-9992
Mailing Address - Fax:770-381-8882
Practice Address - Street 1:3997 LAWRENCEVILLE HWY NW STE B-235
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-2832
Practice Address - Country:US
Practice Address - Phone:770-381-9992
Practice Address - Fax:770-381-8882
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA018791171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD39585Medicare ID - Type Unspecified