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Individual

CHRYSELLE NAZARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9 CHATHAM CTR S STE C, SAVANNAH, GA 31405-7455
(912) 527-7211
(912) 527-7222
Mailing address
PO BOX 15849, SAVANNAH, GA 31416-2549
(912) 303-3552
(912) 303-3506

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
066389
GA
208M00000X
Hospitalist Physician
066389
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003110517A
GA
01
01438428
AMERIGROUP
01
618947
WELLCARE
GA
05
GA1207
SC
01
P00949152
RAILROAD MEDICARE
GA
Enumeration date
06/16/2008
Last updated
08/23/2022
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