Individual
MR. DWAYNE LEE CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606
(706) 475-5076
(706) 475-6676
Mailing address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-5076
(706) 475-6676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74808
GA
208M00000X
Hospitalist Physician
74808
GA
Other
Enumeration date
07/05/2012
Last updated
07/11/2024
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