Chatman, Lisa Michelle

Chatman, Lisa Michelle is an sole proprietor health care provider with primary practice located at 4258 Spring Branch Cir , Valdosta GA 31601-0605. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Chatman, Lisa Michelle can be contacted via phone (770) 310-9000.

Contact Information

Primary practice address
4258 Spring Branch Cir Valdosta GA 31601-0605
Phone: (770) 310-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN011940 Georgia

Profile Details

NPI number 1932239225
LBN Legal business name Chatman, Lisa Michelle
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated May 7th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932239225 NPPES
Georgia MEDICAID 000957569A

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