Individual
JUDITH CHANCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 LAKE RESERVE WAY, CANTON, GA 30115-4784
(404) 851-1393
Mailing address
150 LAKE RESERVE WAY, CANTON, GA 30115-4784
(404) 851-1393
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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