Individual
CHACKO JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4449
(864) 725-4452
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4449
(864) 725-4452
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
16395
SC
Other
Enumeration date
08/09/2006
Last updated
12/10/2021
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