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Contact Information

DB CHANDORA MDPC
362 UPPER RIVERDALE RD SW
RIVERDALE, GA30274-2560
 Phone: 404-550-3248
 Fax: 770-892-5259
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for DB CHANDORA MDPC · (Female)

NPI Number 1427484492
Status Active
Credentials
Entity Individual
Enumeration date 09/22/2013
Last updated 11/07/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 25954
  • GA Medicaid 003137472A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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