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Individual

CHANTAL DEWBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
110 MINKSLIDE DRIVE, ATLANTA, GA 30331-7535
(443) 616-8277
Mailing address
110 MINKSLIDE DR, ATLANTA, GA 30331-7535

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
383043
NY

Other

Enumeration date
11/25/2020
Last updated
06/17/2021
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