Individual
DR. CHANTAE CIARA-JOANNE HOLLIS-SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8555 TAFT STREET, MERRILLVILLE, IN 46410
(219) 769-4005
Mailing address
8555 TAFT STREET, MERRILLVILLE, IN 46410
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
12/11/2024
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