Chewning, Gary Lee
Chewning, Gary Lee is an individual health care provider with primary practice located at 655 Jesse Jewell Pkwy Se Ste B , Gainesville GA 30501-3854. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Chewning, Gary Lee can be contacted via phone (770) 536-6300.Contact Information
Primary practice address
655 Jesse Jewell Pkwy Se Ste B
Gainesville GA 30501-3854
Phone: (770) 536-6300
Fax: (770) 536-6006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN208793 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | RN208793 | Georgia |
Profile Details
| NPI number | 1720435514 |
|---|---|
| LBN Legal business name | Chewning, Gary Lee |
| Credentials | FNP-C, AGACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2016 |
| Last updated | Jan 30th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720435514 | NPPES |
| Georgia | MEDICAID | 003176626M | |
| Georgia | MEDICAID | 003176626N | |
| Georgia | MEDICAID | 003176626O | |
| Georgia | Other | 08037293 |
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