Individual
KRIZIA CHINCHILLA CARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10211
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD004063
LICENSE
GA
Enumeration date
05/01/2013
Last updated
02/15/2022
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