Individual
CHANTE ORSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4103 INDIAN CREEK CIR, STONE MOUNTAIN, GA 30083-5429
(678) 353-9231
Mailing address
4103 INDIAN CREEK CIR, STONE MOUNTAIN, GA 30083-5429
(678) 353-9231
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
183700000X
Pharmacy Technician
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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