Provider Demographics
NPI:1992334866
Name:DORENBUSH, CHELSAE PATRICIA (MD)
Entity type:Individual
Prefix:DR
First Name:CHELSAE
Middle Name:PATRICIA
Last Name:DORENBUSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-4213
Mailing Address - Country:US
Mailing Address - Phone:470-935-4045
Mailing Address - Fax:470-935-6191
Practice Address - Street 1:601 S 8TH ST FL 3
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4213
Practice Address - Country:US
Practice Address - Phone:470-935-4047
Practice Address - Fax:470-935-6191
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA96088207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine