SHANDAREDA CHANTAY CAVAZOS

ATLANTA, GA
NPI1538319249
Former NameSHANDAREDA CHANTAY SEWELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  004742)
Enumeration Date2008-09-30
Last Update Date2024-08-26
Business Address
SHANDAREDA CHANTAY CAVAZOS PA-C, MMSC
1100 JOHNSON FERRY RD STE 410
ATLANTA, GA 30342-1709
Phone number: 404-847-0664
Mailing Address
SHANDAREDA CHANTAY CAVAZOS PA-C, MMSC
1100 JOHNSON FERRY RD STE 410
ATLANTA, GA 30342-1709
Phone number: 404-847-0664
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