| Brenda Chynoweth Llc | |
|
703 E Glenn Ave Ste D Auburn AL 36830-5016 | |
| (335) 466-0030 | |
| Not Available |
| Full Name | Brenda Chynoweth Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 703 E Glenn Ave Ste D, Auburn, Alabama |
| Authorized Official Name and Position | Brenda Cook Chynoweth (OWNER) |
| Authorized Official Contact | 3344660030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Chynoweth Llc 703 E Glenn Ave Ste D Auburn AL 36830-5016 Ph: (334) 466-0030 | Brenda Chynoweth Llc 703 E Glenn Ave Ste D Auburn AL 36830-5016 Ph: (335) 466-0030 |
| NPI Number | 1902414972 |
|---|---|
| Provider Enumeration Date | 07/16/2020 |
| Last Update Date | 07/16/2020 |
| Certification Date | 07/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902414972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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