Individual provider · Type 1 NPI
Judith T. Chabot, FNP-C
Family Nurse Practitioner · Conyers, GA
NPI number
1063419216
Active
Practice location
425 Sigman Rd NW, Suite 109
Conyers, GA 30012-3635
Fax (678) 413-2030
Mailing address
2062 Lake Sorrento Dr
Conyers, GA 30012-2739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F0803368 (GA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1063419216
Judith T. Chabot, FNP-C's National Provider Identifier is 1063419216, issued on Jul 1, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Conyers, GA. The record was last updated on Mar 11, 2010.