Organization
CLINICA AGAVE CLINIC
Active
Organization
CLINICA AGAVE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH T CHABOT FNP-C (PROVIDER)
(404) 447-3444
Entity
Organization
Contact information
Practice address
4434 JONESBORO RD, FOREST PARK, GA 30297-4313
(404) 447-3444
(404) 377-3445
Mailing address
4434 JONESBORO RD, FOREST PARK, GA 30297-4313
(404) 447-3444
(404) 377-3445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up