Individual
ANGELICA CHAPMAN GANDHAKWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP PC
Contact information
Practice address
116 STAMFORD AVE, PEACHTREE CITY, GA 30269-6536
(205) 470-2119
Mailing address
116 STAMFORD AVE, PEACHTREE CITY, GA 30269-6536
(205) 470-2119
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN275795
GA
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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