Individual
CHELSEA MARIE CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3755 SIXES RD STE 300, CANTON, GA 30114-7848
(706) 692-9768
Mailing address
113 VICTORIA STA, WOODSTOCK, GA 30189-1468
(678) 602-9205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN271999
GA
Other
Enumeration date
01/08/2024
Last updated
10/09/2025
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