Individual
RYAN CHESNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1170 CLEVELAND AVE, EAST POINT, GA 30344-3615
(404) 466-1600
Mailing address
1170 CLEVELAND AVE, EAST POINT, GA 30344-3615
(404) 466-1600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN210401
GA
Other
Enumeration date
08/25/2015
Last updated
11/11/2015
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