Individual
CHANTELE BOWSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6101 PARK CLOSE, FAIRBURN, GA 30213-4742
(678) 651-8097
Mailing address
6101 PARK CLOSE, FAIRBURN, GA 30213-4742
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0014187301
GA
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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