| Doctor Name: | MS. JUDITH T CHABOT |
| NPI Number: | 1063419216 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | F0803368 |
| Business Practice Address: | 425 Sigman Rd Nw Suite 109 Conyers, GA - 300123635 |
| Business Phone Number: | 6784132026 |
| Business Fax Number: | 6784132030 |
| Mailing Address: | 2062 Lake Sorrento Dr, CONYERS |
| State: | GA |
| Postal Code: | 300122739 |
| Phone Number: | 7704845423 |
| Fax Number: | 6784132030 |
| NPI Enumeration Date: | 07/01/2005 |
| NPI Last Update Date: | 03/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F0803368 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |