CLARISSA CHAMORRO (NPI# 1639786460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639786460 |
| Entity Type | Individual |
| Full Name | CLARISSA CHAMORRO |
| Practice Address |
840 Old Alabama Rd Sw Mableton GA 30126-4108 |
| Practice Telephone | 6617478267 |
| Mailing Telephone | 6617478267 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
840 OLD ALABAMA RD SW |
| City | MABLETON |
| State | GA |
| Zip Code | 30126-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083256804 | Thelwell Immediate Care Clinic Inc | Clinic/Center | 1400 Veterans Memorial Highway Se Suite 134 #176, Mableton, GA 30126 | 2019-10-14 |
| 1467011049 | Iora Senior Health, Inc. | Internal Medicine | 5015 Floyd Rd, Suite 710, Mableton, GA 30126 | 2019-06-07 |
| 1649677626 | Wonderfully Made Wellness, Inc. | Specialist | 464 Vinings Vintage Circle Se, Mableton, GA 30126 | 2014-11-19 |
| 1811240633 | The Adult Resource Coalition | Community/Behavioral Health | 609 Hunnicut Rd, Mableton, GA 30126 | 2012-10-17 |
| 1922389253 | American Current Care Pa | Clinic/Center | 1025 Veterans Memorial, Mableton, GA 30126 | 2011-08-31 |
| 1558504308 | Eddie Joe Turner Jr. | Emergency Medicine | 4855 Floyd Rd Sw, Mableton, GA 30126 | 2009-04-09 |
| 1285881227 | Community Dental Services Inc | Dentist | 5761 Mableton Parkway, Mableton, GA 30126 | 2008-08-21 |
| 1396932281 | Kevin Duane Larry | Counselor | 1119 Silvergate Ln, Mableton, GA 30126 | 2007-09-25 |
| 1164634440 | Mableton Dental Inc | Dentist | 5841 Mableton Pkwy, Mableton, GA 30126 | 2007-05-07 |
| 1104038686 | Charles L Davenport Jr. | Pharmacist | 558 Ivey Way S.e., Mableton, GA 30126 | 2007-05-04 |
| Find all providers in zip 30126 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508540 | Robert Owen Calvert IIi | Student in an Organized Health Care Education/Training Program | 10734 Bossier Dr, Johns Creek, GA 30022-7977 | 2020-11-02 |
| 1194323469 | Kathlynn Barber | Student in an Organized Health Care Education/Training Program | 248 Sunset Ridge Dr, Newnan, GA 30263-7704 | 2020-10-09 |
| 1063019917 | Shayla Robinson | Student in an Organized Health Care Education/Training Program | 1887 Hudson Xing Apt 9, Tucker, GA 30084-5661 | 2020-10-05 |
| 1417563909 | Josephine Almanzar | Student in an Organized Health Care Education/Training Program | 199 Armour Dr Ne Ste E, Atlanta, GA 30324-3973 | 2020-09-20 |
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1487269338 | Nhu Ai Thi Vo | Student in an Organized Health Care Education/Training Program | 5295 Locomotive Ln, Norcross, GA 30071-2751 | 2020-09-08 |
| 1669087516 | Nurin Ghazzawi | Student in an Organized Health Care Education/Training Program | 1953 Valley Ridge Ln, Duluth, GA 30096-6024 | 2020-09-08 |
| 1871107029 | Ashlie Simmons | Student in an Organized Health Care Education/Training Program | 40 Hardwood Forest Cir, Brunswick, GA 31525-4738 | 2020-09-04 |
| 1427660166 | Kassie Howard | Student in an Organized Health Care Education/Training Program | 2601 Northlake Dr # 1722, Suwanee, GA 30024-2942 | 2020-08-22 |
| 1063024404 | Paul Hwangbo | Student in an Organized Health Care Education/Training Program | 310 Aolian Ct, Alpharetta, GA 30022-7345 | 2020-08-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.