Search › Georgia › 183500000X
Chanthakhone Juarez
NPI 1790234649 · on the registry since 2016 · sole proprietor
Practice
- Address
- 575 Dacula Rd
Dacula, GA 30019 - Phone
- (305) 254-0323
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- FL, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-21
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