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Chandler Grove
NPI 1194563262 · on the registry since 2024
Practice
- Address
- 1360 Caduceus Way
Watkinsville, GA 30677 - Phone
- (706) 543-3629
- Organisation at this address
- Athens Gpr Llc
Aoa Hearing Aids
Edelweiss Pd, Llc
Florida Autism Center
Bmd Telepsychiatry LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 88
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia