Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PATRICE GIBSON CHISHOM, MD
ActiveDR. PATRICE GIBSON CHISHOM, MD is a Pediatrics healthcare provider located in CLARKSTON, Georgia. NPI 1366441032 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · CLARKSTON, GA
Registration Details
- NPI Number
- 1366441032
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2005 (21.041764055636 yrs)
- Last Updated
- Mar 20, 2022
- License
-
045185 (GA)
Practice Information
- Address
-
4112 E PONCE DE LEON AVECLARKSTON, GA, 300218106Browse GA providers · Browse ZIP 30021
- Phone
- 4042897133
- Fax
- 4042897211
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in CLARKSTON, GA
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHANIE M HENRY | MD | 1285621037 |
| DR. LYNETTE ROCHELLE WILSON-PHILLIPS | M.D. | 1992769269 |
| TRACY FERGUSON | M.D. | 1922063734 |
| DR. OJORU OSUNKOYA | MD | 1679528491 |
| KIMBERLY M HUMPHREY BROWNE | M.D. | 1275549388 |
| KEANNA L JOSEPH-CLARKE | MD | 1962579631 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.