Individual
GARY LEE CHEWNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C, AGACNP-BC
Contact information
Practice address
655 JESSE JEWELL PKWY SE STE B, GAINESVILLE, GA 30501-3854
(770) 536-6300
(770) 536-6006
Mailing address
7161 WRIGHTS LN, HOSCHTON, GA 30548-4101
(678) 616-6283
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN208793
GA
363LF0000X
Family Nurse Practitioner
RN208793
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003176626M
—
GA
05
—
003176626N
—
GA
05
—
003176626O
—
GA
01
—
08037293
AMERIGROUP
GA
Enumeration date
05/21/2016
Last updated
01/30/2024
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