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NPI Code Detail

MEDICARE: KATHERINE EMMA HARRISON CHAKNIS PA-C

MEDICARE: KATHERINE EMMA HARRISON CHAKNIS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant10578GA
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1841960689
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE EMMA HARRISON CHAKNIS PA-C
Provider Business Mailing Address
First Line : 3696 WHEELER RD
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-6520
Country : US
Telephone Number : 706-736-1830
Fax Number :
Provider Business Practice Location Address
First Line : 1220 GEORGE C WILSON DR
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-4501
Country : US
Telephone Number : 762-716-1012
Fax Number : 762-716-1013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2021
Last Update Date : 11/14/2024

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Directions to “ KATHERINE EMMA HARRISON CHAKNIS PA-C” Practice Location

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