Individual
DOMINEQUE ARIANE CHHUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2670 COBB PKWY SE, SMYRNA, GA 30080-3014
(678) 732-1528
Mailing address
491 HOPKINS ST SW, ATLANTA, GA 30310-1671
(913) 963-1842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
255-839
GA
Other
Enumeration date
09/11/2018
Last updated
01/20/2020
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