Individual
KRISTY CHISOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
204 KERN CT, SAINT MARYS, GA 31558-2964
(912) 882-1133
Mailing address
204 KERN CT, SAINT MARYS, GA 31558-2964
(912) 882-1133
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH009697
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH009697
HYGIENIST
GA
Enumeration date
05/27/2008
Last updated
05/27/2008
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