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1497257893
CHASTITY SHANAHAN
CUMMING, GA
NPI
1497257893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN204467)
Enumeration Date
2018-03-02
Last Update Date
2018-10-03
Business Address
CHASTITY SHANAHAN FNP-C
104 COLONY PARK DR STE 800
CUMMING, GA 30040
Phone number: 678-947-4454
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Mailing Address
CHASTITY SHANAHAN FNP-C
4995 FENWICK DR
CUMMING, GA 30040-9617
Phone number: 770-624-1818
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