Individual
MR. JOSEPH DONZELL CHANEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED CCC-SLP
Contact information
Practice address
4400 WOODFIELD DR, HAHIRA, GA 31632-3110
(229) 506-7565
(229) 506-7565
Mailing address
4400 WOODFIELD DR, HAHIRA, GA 31632-3110
(229) 506-7565
(229) 506-7565
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3518
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00826548A
—
GA
Enumeration date
07/11/2006
Last updated
07/08/2007
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