Individual
GARY LEE CHEWNING
Active
Individual
GARY LEE CHEWNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C, AGACNP-BC
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
Update your record
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