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CHAE LIFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
275 CARPENTER DR STE 310, ATLANTA, GA 30328-4911
(844) 644-4325
(424) 625-0010
Mailing address
1824 MADISON AVE, NEW YORK, NY 10035-3832

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
84099
GA

Other

Enumeration date
04/01/2016
Last updated
03/20/2020
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