Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 69558 | GA |
N | 207X00000X | Orthopaedic Surgeon | P1974 | TX |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | P1974 | TX |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | P1974 | TX |
N | 207XX0801X | Orthopaedic Trauma Surgeon | P1974 | TX |
NPI | 1871792945 |
---|---|
Provider Name | John Chia-Su Chao |
First Address | Atlanta, GA 30342-1705 |
Second Address | Atlanta, GA 30342-1705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2007 |
Last Update Date | 02/08/2013 |