Individual
KENDRA CHAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 HOSPITAL SOUTH DR, SUITE #200, AUSTELL, GA 30106-6810
(770) 944-7818
Mailing address
1041 COKER CIR NW, KENNESAW, GA 30144-2775
(315) 542-9612
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
03/10/2025
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