Healthcare Provider Details

I. General information

NPI: 1679405773
Provider Name (Legal Business Name): CHENISE GEORGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 ABERCORN ST APT 130
SAVANNAH GA
31406-4540
US

IV. Provider business mailing address

9400 ABERCORN ST APT 130
SAVANNAH GA
31406-4540
US

V. Phone/Fax

Practice location:
  • Phone: 470-927-8282
  • Fax:
Mailing address:
  • Phone: 470-927-8282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number18840
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: