Basic Information
| Provider Information | |||||||||
| NPI: | 1013548494 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAYMAN | ||||||||
| FirstName: | CHELSEA | ||||||||
| MiddleName: | |||||||||
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| Credential: | DNP, APRN, FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6005 WATSON BLVD STE 100 | ||||||||
| Address2: | |||||||||
| City: | BYRON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 310086542 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4789565002 | ||||||||
| FaxNumber: | 4789565003 | ||||||||
| Practice Location | |||||||||
| Address1: | 6005 WATSON BLVD STE 100 | ||||||||
| Address2: | |||||||||
| City: | BYRON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 310086542 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4789565002 | ||||||||
| FaxNumber: | 4789565003 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/04/2020 | ||||||||
| LastUpdateDate: | 07/12/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/17/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | RN197504 | GA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 163WE0003X | RN197504 | GA | N | Nursing Service Providers | Registered Nurse | Emergency |
No ID Information.