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General NPI Number Information
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NPI Number | 1639081490
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Entity Type | Organization
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Legal Business Name | IMAGINE GYNECOLOGY LLC
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 1075 ZONOLITE RD NE STE 1E
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City | ATLANTA
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State | GA
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Zip | 30306-2013
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Country | US
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Telephone | 864-483-9621
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Fax |
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Provider Business Mailing Address
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Address Line | 1075 ZONOLITE RD NE STE 1E
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City | ATLANTA
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State | GA
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Zip | 30306-2013
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Country | US
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Telephone | 864-483-9621
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARIS CHAMBERS
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Credential | MD
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Telephone | 864-483-9621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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