Individual
NICOLE CHAVANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5524 OLD NATIONAL HWY, STE B, COLLEGE PARK, GA 30349-3341
(404) 763-8555
(404) 763-8502
Mailing address
4132 ATLANTA HWY, STE 110-224, LOGANVILLE, GA 30052-4930
(678) 288-6550
(678) 288-6550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN206850
GA
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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