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Contact Information

CHAS VAN DIVIERE LTD
357 BOYCE GUIN RD
TIGNALL, GA30668
 Phone: 706-285-2073
 Fax: 706-285-2076
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for CHAS VAN DIVIERE LTD · (Female)

NPI Number 1619033149
Status Active
Credentials
Entity Individual
Enumeration date 12/29/2006
Last updated 07/23/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA Medicaid 00530406A
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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