Individual
DR. EVGENIYA NIKOLAEVNA CHISENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 MEMORIAL DR, JACKSONVILLE, NC 28546
(910) 353-0581
(910) 577-1150
Mailing address
PO BOX 986513, DEPT 100, BOSTON, MA 02298-6513
(910) 219-8326
(910) 939-4269
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019-02047
NC
Other
Enumeration date
05/13/2016
Last updated
11/03/2023
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