Individual
MR. CHAD SPENCER CHAFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
128 NORTH AVE NE, STE. 100, ATLANTA, GA 30308-2329
(404) 881-0966
(404) 874-5902
Mailing address
128 NORTH AVE NE, STE. 100, ATLANTA, GA 30308-2329
(404) 881-0966
(404) 874-5902
Taxonomy
Speciality
Code
Description
License number
State
163WU0100X
Urology Registered Nurse
Primary
RN134291
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN134291
STATE RN LICENSE
GA
Enumeration date
05/29/2007
Last updated
07/08/2007
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