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Individual

MS. JUDITH T CHABOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
425 SIGMAN RD NW, SUITE 109, CONYERS, GA 30012-3635
(678) 413-2026
(678) 413-2030
Mailing address
2062 LAKE SORRENTO DR, CONYERS, GA 30012-2739
(770) 484-5423
(678) 413-2030

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0803368
GA

Other

Enumeration date
07/01/2005
Last updated
03/11/2010
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