IndividualActive
Alice Chan
NPI 1497140628 · Pediatric Cardiology Physician · Winston Salem, NC
Provider details
- NPI number
- 1497140628
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 2018-01158 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1806 S Hawthorne Rd Ste 100
Winston Salem, NC 27103-4014
Phone: (336) 718-2560
Fax: (336) 718-2569
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Additional practice locations (1)
- 115 Heart DrGreenville, NC 27834-8982Phone: (252) 744-5601Fax: (252) 744-3814
Registry dates
- Enumerated
- 2015-04-03
- Last updated
- 2023-11-13
- Certified
- 2023-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.