Individual
CHANTEVIA EADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3013 REYNOLDA DR, HAHIRA, GA 31632-1366
(229) 488-7805
Mailing address
3013 REYNOLDA DR, HAHIRA, GA 31632-1366
(229) 488-7805
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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