Provider Demographics
NPI:1386016566
Name:CHAMBERS, D'AMBER NICOLE (PA-C)
Entity type:Individual
Prefix:
First Name:D'AMBER
Middle Name:NICOLE
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2690 HAMILTON MILL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-4193
Mailing Address - Country:US
Mailing Address - Phone:470-326-7600
Mailing Address - Fax:
Practice Address - Street 1:2690 HAMILTON MILL RD STE 100
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-4193
Practice Address - Country:US
Practice Address - Phone:470-326-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-27
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA9646363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant