Organization
HEALTHYPRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUELLE CHASSAGNE ADVANCE PRACTIC (APRN/MANAGER)
(954) 770-7059
Entity
Organization
Contact information
Practice address
3784 HARRIS BLVD NW, KENNESAW, GA 30144-6098
(954) 770-7059
Mailing address
3784 HARRIS BLVD NW, KENNESAW, GA 30144-6098
(954) 770-7059
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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