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Individual

MARTHA NICOLE CHAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
217 JAMESTOWN PARK STE 1, BRENTWOOD, TN 37027-1501
(615) 376-4863
Mailing address
128 PRATT ST, BELMONT, NC 28012-3358
(910) 534-5678

Taxonomy

Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary

Other

Enumeration date
02/06/2012
Last updated
02/06/2012
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