Individual
GLORIA CHAFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 794-0477
(770) 794-3108
Mailing address
4922 STARVILLE RD, CHINA, MI 48054-3021
(404) 210-5504
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000341
OH
367H00000X
Anesthesiologist Assistant
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0853956
BCBS MI PIN
—
Enumeration date
07/29/2007
Last updated
12/07/2022
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