| Doctor Name: | MS. ANDREA NICOLE CHANCEY |
| NPI Number: | 1447495817 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.-C |
| License Number: | 005487 |
| Business Practice Address: | 2514 Tobacco Rd Ste C Hephzibah, GA - 308157005 |
| Business Phone Number: | 7067900311 |
| Business Fax Number: | |
| Mailing Address: | 809 Peachtree St, LOUISVILLE |
| State: | GA |
| Postal Code: | 304341449 |
| Phone Number: | 4786257597 |
| Fax Number: | |
| NPI Enumeration Date: | 12/12/2008 |
| NPI Last Update Date: | 09/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 005487 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |