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Individual

JOSEPH P CHOVANEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
303 PARKWAY DRIVE, N.E., PMB 404, ATLANTA, GA 30312-1212
(404) 265-4421
(404) 265-3894
Mailing address
PO BOX 932925, ATLANTA, GA 31193-2925
(800) 364-9216
(423) 892-5838

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
000333
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100000158B
GA
05
100000158G
GA
01
1962449744
NPI
GA
01
1982637419
GROUP NPI
GA
01
N341470
WELLCARE MEDICAID
GA
01
P00158088
RAILROAD MEDICARE
GA
Enumeration date
06/01/2006
Last updated
03/15/2011
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