Healthcare Provider Details

I. General information

NPI: 1740252428
Provider Name (Legal Business Name): ELIZABETH BRITTON CHAHINE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH BRITTON WIMBERLY

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 07/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 JESSE HILL JR DR SE
ATLANTA GA
30303-3031
US

IV. Provider business mailing address

69 JESSE HILL JR DR SE 4TH FLOOR GLENN BUILDING
ATLANTA GA
30303-3031
US

V. Phone/Fax

Practice location:
  • Phone: 404-727-8600
  • Fax: 404-727-8609
Mailing address:
  • Phone: 404-727-8600
  • Fax: 404-521-3589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number042801
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: