Individual
CHANDRA LEVATTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 CHANCEY MILL RD, BLAKELY, GA 39823-5563
(229) 308-5203
Mailing address
711 CHANCEY MILL RD, BLAKELY, GA 39823-5563
(229) 308-5203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN178604
GA
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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