Individual
MWABA CHISELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4550 COBB PARKWAY NORTH NW STE 210B, ACWORTH, GA 30101-4182
(470) 267-1760
(470) 986-7002
Mailing address
4550 COBB PARKWAY NORTH NW STE 210B, ACWORTH, GA 30101-4182
(470) 267-1760
(470) 986-7002
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN256186
GA
Other
Enumeration date
02/09/2022
Last updated
07/11/2023
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