Provider Demographics
NPI:1902227648
Name:CHEN, ALEX CHIA-HWANG (LAC)
Entity Type:Individual
Prefix:
First Name:ALEX CHIA-HWANG
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 PROSPECT PL
Mailing Address - Street 2:NONE
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-5445
Mailing Address - Country:US
Mailing Address - Phone:678-636-9868
Mailing Address - Fax:678-636-9068
Practice Address - Street 1:110 PROSPECT PL
Practice Address - Street 2:NONE
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-5445
Practice Address - Country:US
Practice Address - Phone:678-636-9868
Practice Address - Fax:678-636-9068
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-24
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA363171100000X
FL3382171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist