| Dr Patrice Gibson Chishom, MD | |
|
4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 | |
| (404) 289-7133 | |
| (404) 289-7211 |
| Full Name | Dr Patrice Gibson Chishom |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4112 E Ponce De Leon Ave, Clarkston, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366441032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 045185 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrice Gibson Chishom, MD 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 Ph: (404) 289-7133 | Dr Patrice Gibson Chishom, MD 4112 E Ponce De Leon Ave, Clarkston, GA 30021-8106 Ph: (404) 289-7133 |
Kimberly M Humphrey-browne, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-296-7133 Fax: 404-501-9744 | |
Dr. Stephanie M Henry, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-296-7133 Fax: 404-296-7211 | |
Sean R Lindsey, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4122 E Ponce De Leon Ave Ste 5, Clarkston, GA 30021 Phone: 470-799-0044 Fax: 470-799-0045 | |
Dr. Ojoru Osunkoya, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4112 E. Ponce De Leon, Clarkston, GA 30021 Phone: 404-296-7133 | |
Tracy Ferguson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-296-7133 Fax: 404-296-7211 | |
Keanna L Joseph-clarke, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-296-7133 Fax: 404-296-7211 |