Provider Demographics
NPI:1508925272
Name:SLAY-CHIPP, CATHY (APRN-C)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:SLAY-CHIPP
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:ELIZABETH
Other - Last Name:SLAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APRN-C
Mailing Address - Street 1:4862 MALABAR DR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-2810
Mailing Address - Country:US
Mailing Address - Phone:912-230-1556
Mailing Address - Fax:
Practice Address - Street 1:4220 CORAL PARK DR
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-3016
Practice Address - Country:US
Practice Address - Phone:912-275-8165
Practice Address - Fax:904-212-1632
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN051489363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA211393653BMedicaid