Individual
SHEIMEITA CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 844-3200
(404) 851-6325
Mailing address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 844-3200
(404) 851-6325
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN207502
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003177117A
—
GA
Enumeration date
10/26/2015
Last updated
08/08/2024
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