Individual
DR. CHANDA COTTINGHAM GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
341 PONCE DE LEON AVE NE, ATLANTA, GA 30308-2012
(404) 616-9830
Mailing address
5301 GRAYSON PL, DECATUR, GA 30030-6420
(404) 298-5480
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003350
GA
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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