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Dr. Patrice Gibson Chishom, MD
Pediatrics Physician in Clarkston, Georgia
NPI 1366441032

Patrice Gibson Chishom is a Pediatrics Physician based in Clarkston, GA. Patrice Gibson Chishom practices in Clarkston, GA and has the professional credentials of MD. The NPI Number for Patrice Gibson Chishom is 1366441032 and holds a License No. 045185 (Georgia).

The current practice location address for Patrice Gibson Chishom is 4112 E Ponce De Leon Ave, Clarkston, GA and can be reached out via phone at 404-289-7133 and via fax at 404-289-7211.

Location: 4112 E Ponce De Leon Ave, Clarkston, GA, 30021-8106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366441032
Provider Name
Patrice Gibson Chishom
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4112 E Ponce De Leon Ave, Clarkston, GA, 30021-8106
Phone Number
404-289-7133
Fax Number
404-289-7211
Provider Enumeration Date
07/15/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4112 E Ponce De Leon Ave
City
Clarkston
State
Georgia
Zip
30021-8106
Phone Number
404-289-7133
Fax Number
404-289-7211
person
Provider Business Mailing Address Details
Address
4112 E Ponce De Leon Ave
City
Clarkston
State
Georgia
Zip
30021-8106
Phone Number
404-289-7133
Fax Number
404-289-7211
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
045185 (Georgia)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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