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Individual

CHHAVI V NOOHANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
900 TOWNE LAKE PKWY, STE. 104, WOODSTOCK, GA 30189-1600
(770) 639-5880
(770) 693-5902
Mailing address
900 TOWNE LAKE PKWY, STE. 104, WOODSTOCK, GA 30189-1600
(770) 639-5880
(770) 693-5902

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66974
GA
207Q00000X
Family Medicine Physician
OS9536
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274065600
FL
01
30712
BCBS
FL
01
P00387710
RAILROAD MEDICARE
Enumeration date
08/12/2006
Last updated
09/26/2019
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