Smith, Chaundrissa Morenike
Smith, Chaundrissa Morenike is an individual health care provider with primary practice located at 2400 Mt. Zion Parkway Kaiser Permanente Southwood Medical Center, Jonesboro GA 30236. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Chaundrissa Morenike can be contacted via phone (770) 603-3632.Contact Information
Primary practice address
2400 Mt. Zion Parkway Kaiser Permanente Southwood Medical Center
Jonesboro GA 30236
Phone: (770) 603-3632
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2979 | Georgia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY002979 | Georgia |
Profile Details
| NPI number | 1922026301 |
|---|---|
| LBN Legal business name | Smith, Chaundrissa Morenike |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Mar 29th, 2022 - about 2 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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