Individual
MRS. CHANDRIA TENAYE TENPENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4210 COLUMBIA ROAD, MARTINEZ, GA 30907
(706) 364-6576
Mailing address
234 HAVELOCK DRIVE, GROVETOWN, GA 30813
(615) 507-9711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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