Provider Demographics
NPI:1922735620
Name:CHIVERS, MONICA
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:CHIVERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 WOODMONT LN NW # 392
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2866
Mailing Address - Country:US
Mailing Address - Phone:706-331-1673
Mailing Address - Fax:404-745-8631
Practice Address - Street 1:1441 WOODMONT LN NW # 392
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2866
Practice Address - Country:US
Practice Address - Phone:706-331-1673
Practice Address - Fax:404-745-8631
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator