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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