Individual
MRS. ASHLEY COOPER CHANCELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1707 WATSON BLVD, WARNER ROBINS, GA 31093-3606
(478) 929-8030
(478) 929-0895
Mailing address
1707 WATSON BLVD, WARNER ROBINS, GA 31093-3606
(478) 929-8030
(478) 929-8095
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
212346
GA
Other
Enumeration date
10/11/2017
Last updated
11/30/2022
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