Individual
MRS. EVAN L CHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SERVICE COORDINATOR
Contact information
Practice address
2003 PIPPIN PL, STATESBORO, GA 30461-4914
(706) 551-1097
Mailing address
2003 PIPPIN PL, STATESBORO, GA 30461-4914
(706) 551-1097
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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