Dr. Patrice Gibson Chishom
MD | Pediatrics | Female
Dr. Patrice Gibson Chishom, MD is a Clarkston, Georgia based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Patrice Gibson Chishom is also known as
Patrice Dannette Gibson.
Current practice location of Dr. Patrice Gibson Chishom is
4112 E Ponce De Leon Ave, Clarkston, Georgia - 30021-8106. She can be contacted on phone at
404-289-7133 and fax number 404-289-7211.
Dr. Patrice Gibson Chishom is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Patrice Gibson Chishom is
1366441032 which was assigned by NPPES on 15 Jul, 2005 and it was last updated on 20 Mar, 2022.
Dr. Patrice Gibson Chishom license number is
045185 for Pediatrics (208000000X) in Georgia.
Dr. Patrice Gibson Chishom is a pediatrician who 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.
Complete Profile:
Dr. Patrice Gibson Chishom basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Patrice Gibson Chishom |
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| Other Name : | Patrice Dannette Gibson |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Patrice Gibson Chishom address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4112 E Ponce De Leon Ave
Clarkston, GA, 30021-8106
United States |
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| Phone Number : | 404-289-7133 |
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| Fax Number : | 404-289-7211 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366441032 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Jul, 2005 |
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| Last Updated On : | 20 Mar, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Patrice Gibson Chishom are as mentioned. Primary taxonomy code for Dr. Patrice Gibson Chishom, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 045185 | GA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4112 E Ponce De Leon Ave
Clarkston, GA, 30021-8106
United States |
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| Phone Number : | 404-289-7133 |
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| Fax Number : | 404-289-7211 |
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Business Location:
Patients can refer following map for directions to
Dr. Patrice Gibson Chishom practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.