Lavinia Danielle Chavers
Technician, Other in Mcdonough, GA. Individual provider (NPI-1).
NPI number1295427672
StatusActive
Last updated in NPPESMay 25, 2023
Details
- NPI
- 1295427672
- Entity type
- Individual (NPI-1)
- Name
- Lavinia Danielle Chavers
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2023
- Certification date
- May 25, 2023
- Last updated
- May 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | GA | Yes |
Practice location
600 Westridge Pkwy Ste 714 #1525Ste 714 #1525
Mcdonough, GA 30253
Phone 716-867-2200 · Fax 470-507-4310
Mailing address
600 Westridge Pkwy Ste 714 #1525Ste 714 #1525
Mcdonough, GA 30253
Phone 716-867-2200 · Fax 470-507-4310
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Other Technician, Other providers in Mcdonough, GA
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