Chaffin, Chad Spencer

Chaffin, Chad Spencer is an individual health care provider with primary practice located at 128 North Ave Ne Ste. 100, Atlanta GA 30308-2329. He recently has only one registered license in Nursing Service Providers / Urology, which is considered as his primary health care specialty. Chaffin, Chad Spencer can be contacted via phone (404) 881-0966.

Contact Information

Primary practice address
128 North Ave Ne Ste. 100 Atlanta GA 30308-2329
Phone: (404) 881-0966
Fax: (404) 874-5902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Urology 163WU0100X RN134291 Georgia

Profile Details

NPI number 1578764601
LBN Legal business name Chaffin, Chad Spencer
Credentials RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578764601 NPPES
Georgia Other RN134291 STATE RN LICENSE

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