Provider Demographics
NPI:1083143051
Name:OGLETREE, CHELSIA CELESTE (CD)
Entity type:Individual
Prefix:
First Name:CHELSIA
Middle Name:CELESTE
Last Name:OGLETREE
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 FOREST OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:FORSYTH
Mailing Address - State:GA
Mailing Address - Zip Code:31029-4857
Mailing Address - Country:US
Mailing Address - Phone:404-590-2470
Mailing Address - Fax:
Practice Address - Street 1:113 FOREST OVERLOOK DR
Practice Address - Street 2:
Practice Address - City:FORSYTH
Practice Address - State:GA
Practice Address - Zip Code:31029-4857
Practice Address - Country:US
Practice Address - Phone:404-590-2470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula