Individual
CHANCE STODGHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 CLIFTON RD NE, ATLANTA, GA 30322-4200
(404) 727-7551
Mailing address
108 CLEARWATER DR, JACKSON, GA 30233-3834
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
RN307755
GA
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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