Individual
JONATHAN RANN NELSON-CHAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
3708 MAYFAIR ST, DURHAM, NC 27707-6226
(984) 215-4780
Mailing address
5902 TATTERSALL DR APT 25, DURHAM, NC 27713-9055
(252) 213-5740
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3630
NC
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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