Individual
MAGGIE AMERICA CHESNUTT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
424 DECATUR ST, ATLANTA, GA 30312
(404) 880-3600
(404) 880-3604
Mailing address
424 DECATUR ST, ATLANTA, GA 30312
(404) 880-3600
(404) 880-3604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN080757
GA
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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