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Individual

ASHLEE CHANEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
5749 RADFORD LOOP, FAIRBURN, GA 30213-5518
(912) 660-1099
Mailing address
5749 RADFORD LOOP, FAIRBURN, GA 30213-5518

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN198446
GA
163WG0000X
General Practice Registered Nurse
RN198446
GA
163WH0200X
Home Health Registered Nurse
RN198446
GA

Other

Enumeration date
09/24/2018
Last updated
09/24/2018
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