Chl

NPI #1649734773 in Ashburn, Georgia

Provider Information

NPI Number
1649734773
Entity Type
Organization
Organization Name
Chl
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jan 23, 2019
Last Updated
Aug 14, 2019

Practice Location

Address
235 E WASHINGTON AVE
State
Georgia
ZIP Code
31714-5224
Phone
(229) 778-9216

Authorized Official

Name
MRS. PIPER PARKER CREWS
Title
MANAGER
Phone
(229) 886-4433

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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