Individual
SHANA-KAE J DAVIS-CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, WHNP-BC
Contact information
Practice address
761 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(770) 513-4000
Mailing address
2120 HUNTERS COVE DR, LAWRENCEVILLE, GA 30044-5310
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN175675
GA
Other
Enumeration date
02/11/2018
Last updated
02/11/2018
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