Individual
CHRIS BUCHANAN CHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11 SHERWOOD DR, NEWNAN, GA 30263-1127
(678) 850-7545
Mailing address
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN155127
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
479765708A
—
GA
05
—
479765708B
—
GA
05
—
479765708C
—
GA
05
—
479765708D
—
GA
Enumeration date
01/20/2010
Last updated
09/23/2020
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