Doctor Name: | MRS. LISA COLLINS CHESTER |
NPI Number: | 1003991027 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN076607 |
Business Practice Address: | 50 Highway 56 North Swainsboro, GA - 30401 |
Business Phone Number: | 4782377501 |
Business Fax Number: | 4782892501 |
Mailing Address: | Po Box 436, SWAINSBORO |
State: | GA |
Postal Code: | 30401 |
Phone Number: | 4782377501 |
Fax Number: | 4782892501 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WA2000X |
License Number: | RN076607 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Administrator |
Taxonomy Definition: |