Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Chan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356735914

Jacqueline Chan, MD is a Student in an Organized Health Care Education/Training Program in Augusta, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1120 15th St
Augusta, GA 30912-7232
Phone: (706) 721-8623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1740 W Taylor St, Chicago, IL 60612-7232 — (866) 600-2273

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X · Licence 079530 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356735914
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 22, 2015
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023
Mailing address1499 Walton Way, Ste 1400, Augusta, GA 30901-2603

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