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Individual
LEDY P CHESTNUT
Active
Individual
LEDY P CHESTNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2295
SC
363AM0700X
Medical Physician Assistant
2295
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102PA
—
SC
Enumeration date
07/02/2012
Last updated
07/28/2023
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