Individual
MRS. MARY ELLEN CHALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2501 HIGHWAY ONE NORTH, LOUISVILLE, GA 30434
(478) 625-3716
(478) 625-8201
Mailing address
820 HARPER STREET, GIBSON,, GA 30810
(706) 598-2545
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN029045
GA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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