Individual
MRS. CHINYERE CHIGBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1501 MILSTEAD RD NE STE 110, CONYERS, GA 30012-3849
(770) 760-9949
(770) 760-9951
Mailing address
1835 SAVOY DRIVE, SUITE 300, ATLANTA, GA 30341-1071
(770) 760-9949
(770) 760-9951
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN143371
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003207291F
—
GA
05
—
003207291G
—
GA
01
—
G04558A
MEDICARE PTAN
GA
Enumeration date
05/31/2018
Last updated
08/17/2020
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