Individual
ARA CHITCHYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MCWILLIAMS DR, PEACHTREE CITY, GA 30269-6948
(770) 570-9792
(570) 243-0902
Mailing address
14 E FIELD ST, NEWNAN, GA 30263-2206
(720) 841-9168
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
071327
GA
208100000X
Physical Medicine & Rehabilitation Physician
46888
CO
208100000X
Physical Medicine & Rehabilitation Physician
49353
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003146871C
—
GA
01
—
071327
GEORGIA STATE MEDICAL LICENSE
GA
01
—
46888
COLORADO STATE MEDICAL LICENSE NUMBER
CO
Enumeration date
11/14/2006
Last updated
03/07/2023
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