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Individual

MRS. CHEVELA HUNTER GREENWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1927 LATHROP ST SE, ATLANTA, GA 30315
(404) 781-8188
Mailing address
1927 LATHROP ST SE, ATLANTA, GA 30315
(404) 781-8188

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
85-3818494
GA

Other

Enumeration date
08/23/2021
Last updated
08/23/2021
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