Individual
TINA T CHAPHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
200 S ENOTA DR NE STE 380, GAINESVILLE, GA 30501-3475
(770) 219-7099
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN240549
GA
Other
Enumeration date
11/12/2018
Last updated
10/18/2023
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