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MRS. CIANDRA REGINE CALHOUN BRANCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
707 OLD DALTON ELLIJAY RD, CHATSWORTH, GA 30705-2029
(706) 695-4564
Mailing address
5249 BURRUS LN, MABLETON, GA 30126-3059

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12509
GA

Other

Enumeration date
08/09/2024
Last updated
01/28/2026
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