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Organization

CHANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON G REEVES (CEO)
(770) 227-1404
Entity
Organization

Contact information

Practice address
1645 N 2ND STREET EXT, GRIFFIN, GA 30223-1638
(770) 227-1404
(770) 227-1404
Mailing address
1645 N 2ND STREET EXT, GRIFFIN, GA 30223-1638
(770) 227-1404
(770) 227-1404

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
302R00000X
GA

Other

Enumeration date
07/20/2010
Last updated
07/20/2010
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