Provider Demographics
NPI:1043009483
Name:NEW CHANCE CENTERS LLC
Entity type:Organization
Organization Name:NEW CHANCE CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:ERDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-202-7273
Mailing Address - Street 1:7015 POLO DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-7008
Mailing Address - Country:US
Mailing Address - Phone:770-842-1379
Mailing Address - Fax:
Practice Address - Street 1:2733 SHERATON DR STE 110
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204-6850
Practice Address - Country:US
Practice Address - Phone:478-202-7273
Practice Address - Fax:478-239-0094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-02
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty