Provider Demographics
NPI:1548002066
Name:GOLDEN, CHASADY SHARDA
Entity type:Individual
Prefix:
First Name:CHASADY
Middle Name:SHARDA
Last Name:GOLDEN
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 1:154 FREDDIE WALTHOUR SR RD
Mailing Address - Street 2:
Mailing Address - City:MIDWAY
Mailing Address - State:GA
Mailing Address - Zip Code:31320-3940
Mailing Address - Country:US
Mailing Address - Phone:912-271-0498
Mailing Address - Fax:
Practice Address - Street 1:154 FREDDIE WALTHOUR SR RD
Practice Address - Street 2:
Practice Address - City:MIDWAY
Practice Address - State:GA
Practice Address - Zip Code:31320-3940
Practice Address - Country:US
Practice Address - Phone:912-271-0498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health