Individual
URSULA CHATMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
378 TABOR RD, FORT VALLEY, GA 31030-6024
(478) 971-4684
Mailing address
378 TABOR RD, FORT VALLEY, GA 31030-6024
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN046371
GA
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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