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Individual

MS. CHANDRA GUY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
295 MOLLY LANE STE 150, WOODSTOCK, GA 30189
(770) 926-4646
Mailing address
295 MOLLY LN STE 150, WOODSTOCK, GA 30189-3783

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN209784
GA

Other

Enumeration date
10/05/2017
Last updated
08/16/2021
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