Provider Demographics
NPI:1750952669
Name:DUCHAUSSEE, CHANELLE CATHERINE
Entity type:Individual
Prefix:
First Name:CHANELLE
Middle Name:CATHERINE
Last Name:DUCHAUSSEE
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 1:2531 CENTER WEST PKWY # 500
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-2141
Mailing Address - Country:US
Mailing Address - Phone:706-607-0271
Mailing Address - Fax:706-786-0697
Practice Address - Street 1:2531 CENTER WEST PKWY # 500
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-2141
Practice Address - Country:US
Practice Address - Phone:706-607-0271
Practice Address - Fax:706-786-0697
Is Sole Proprietor?:No
Enumeration Date:2021-07-02
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC007216213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery