Individual
MELINDA CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
221 MCKOY ST, DECATUR, GA 30030-4347
(404) 313-2396
Mailing address
221 MCKOY ST, DECATUR, GA 30030-4347
(404) 313-2396
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN127827
GA
Other
Enumeration date
10/16/2013
Last updated
03/25/2019
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