DR. Patrice Gibson Chishom, MD

NPI #1366441032 in Clarkston, Georgia

Provider Information

NPI Number
1366441032
Entity Type
Individual
Name
DR. Patrice Gibson Chishom, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics
Credential
MD
Enumeration Date
Jul 15, 2005
Last Updated
Mar 20, 2022

Practice Location

Address
4112 E PONCE DE LEON AVE
State
Georgia
ZIP Code
30021-8106
Phone
(404) 289-7133

Specialties & Taxonomy Codes

Specialty
Pediatrics

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