Individual
RAYNECIA CHISOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 CHANDLER FIELD DR, COVINGTON, GA 30016-0938
(804) 839-9390
Mailing address
15 CHANDLER FIELD DR, COVINGTON, GA 30016-0938
(804) 839-9390
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN275220
GA
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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