Search › Georgia › 164W00000X
Chantease Braxton
NPI 1588495303 · on the registry since 2024 · sole proprietor
Practice
- Address
- 311 White Ingram Pkwy Ste 500
Dallas, GA 30132 - Phone
- (678) 363-7447
- Fax
- (678) 363-7787
- Organisation at this address
- Georgia Ctc, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-13
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