Individual
CHUNTIEL JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2779 COBB PARKWAY NW, KENNESAW, GA 30152
(866) 935-0333
(713) 935-9353
Mailing address
3310 TREE LODGE PARKWAY, ATLANTA, GA 30350
(770) 394-3079
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
187442
GA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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