Individual
JACOB CHACHKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 E LAUCHWOOD DR, LAURINBURG, NC 28352-5501
(910) 291-7000
Mailing address
PO BOX 409540, ATLANTA, GA 30384-9540
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200301342
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135NO
BCBS PROVIDER NUMBER
NC
05
—
PENDING
—
NC
Enumeration date
07/12/2006
Last updated
07/09/2007
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