Individual
DR. AUDRY STEFANY CHACIN SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 WOODRUFF CIRCLE WMB 1105, ATLANTA, GA 30322-3098
(404) 712-1504
(404) 544-1569
Mailing address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT226007
PA
207RC0000X
Cardiovascular Disease Physician
17995
GA
Other
Enumeration date
06/18/2022
Last updated
06/16/2025
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