Individual
DR. LISA MICHELLE CHATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4258 SPRING BRANCH CIR, VALDOSTA, GA 31601-0605
(770) 310-9000
Mailing address
4258 SPRING BRANCH CIR, VALDOSTA, GA 31601-0605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011940
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000957569A
—
GA
Enumeration date
03/06/2007
Last updated
05/07/2014
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